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By providing your email, you are consenting to receive information about your results via email and are also opting in for The Boob Bus mailing list, which includes educational information, annual mammogram reminders, discount info, and more.

This should be the provider you see most frequently for routine health issues; usually a generalist or family practice provider. She/he will receive a copy of your mammogram results. You do not need to notify her/him in advance (but we recommend it).

Is there a chance you are currently pregnant?
Are you nursing/breastfeeding?
Do you have a personal history of cancer?
What is your cigarette smoking status?
What is your race/ethnicity/ancestry?

People with certain ethnic backgrounds and ancestries are more likely to be at risk for certain medical conditions and cancer types.  

Services requested (check all that apply):
The presence of a genetic variant classified as “pathogenic” does not mean that the person will get cancer, heart disease, or another condition. But it does increase the risk. On the flip side, the absence of a pathogenic variant does not mean that the person will never get these conditions.
We recommend at least a month between your last COVID-19 vaccine and your mammogram. This is because a normal immune response to the vaccine could appear problematic on the mammogram.

If you are currently experiencing problems or issues (like a lump or discharge) contact your primary care provider before booking. It may be best for you to have a diagnostic mammogram which cannot be done on The Boob Bus. 

Do you have breast implants?

If you have implants, you're in good hands! We have equipment and training specifically for breast implants. You'll receive an additional email about this and please don't hesitate to let us know if you have any further questions!

Have you had a previous mammogram?

Please list as much info as you remember, including ordering provider, phone number, fax number, and address. We will get the prior images so our radiologist can see how your breasts have changed between your exams. 

Have you had a breast ultrasound?
Have you been told by a professional or in a prior report that you have dense breast tissue?
May we bill the breast imaging to your insurance provider? (Cash price is $399 for each a mammogram and breast ultrasound or $750 for both done same day; you may use your credit or HSA/FSA card or Venmo at the appointment.)
Are you a woman?

On average, each woman has a 1-in-8 (12.5%) chance of having breast cancer in her lifetime. The following questions help The Boob Bus provide your specific risk, which will be given as a percentage on your mammography report or will help personalize your genetic testing experience. Please provide this information to the best of your knowledge.

Have you had BRCA1/BRCA2 genetic testing?
Are you still having your period?
Have you had a hysterectomy?
Do you have children?
Are you currently taking hormones?
Have you ever taken birth control?
Who in your family, if anyone, has had breast cancer? (Select all that apply)

Including breast biopsy, excision, aspiration, lumpectomy, implants, reductions, lifts, etc. Please tell us the approximate date, type of procedure, which breast or both breasts as well as any current breast concerns. 

Thank you! Answers sent.
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