Schedule a Mammogram Screening (For current Primary Care patients only)
In order to ensure you receive the right type of care, please take a minute
to answer the following questions.
You also need to be a current patient with one of our medical group family
practice, internal medicine or gynecology providers to schedule online.
If you have any mammogram scheduling questions, please call our Radiology
scheduling department at (714) 628-3305 for further assistance.
If you are experiencing an urgent or life threatening medical emergency,
please call 911.
Step 2: Choose Date and Time
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Today: Jan 21, 2021
Step 3: Enter Patient's Information
Step 4: Review Patient's Information
Step 5: Confirm Your Appointment

Thank you for scheduling a Mammogram Screening.
In preparation for your exam, please make sure to wear a two piece outfit
and no deodorant or talcum powder.
If you need to change or cancel your appointment, please call our office
as soon as possible. Please arrive 10 – 15 minutes early so you can fill
out any applicable patient paperwork.
Please review the personal information above. If you need to make a change,
please notify the receptionist upon check-in.
Please
complete this form and bring the printed copy with you to your appointment.
This form does not interface with our system.
For the English form,
click here.
For the Spanish form,
click here.
Scheduled On: [ScheduledDate]