Remind someone to schedule a mammogram form

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Remind someone you love to schedule their mammogram

Show a loved one you care about their health. Let them know you've scheduled your mammogram and want to remind them to get theirs, too.

You know that early detection of breast cancer is a woman's best chance of surviving breast cancer — and a mammogram is the best means for early detection.

Simply complete the information below and we'll make sure your friend or family member receives your reminder. Thank you for caring enough to share the message that mammograms can save lives!

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