Mammogram Appointment Request

Request Your Next Mammogram Appointment at CPMC Online

Please complete the form below and we will call you to schedule your next mammography appointment at your convenience.
If you have problems using the form below or if you prefer, you may call 415-600-6474 for an appointment at the California Campus
or 415-641-3360 for an appointment at the St. Luke's Campus.

All personal information will be kept confidential.

IMPORTANT: Mammography requires a physician order. If you need assistance finding a physician, we can help. Call 888-637-2762 to speak with one of our physician referral representatives.

Contact Information

First Name (required)Required

Last Name (required)Required

Phone number

Date of Birth (dd/mm/yyyy)

Email (required) RequiredExample: yourname@yourhost.com

Insurance Provider (optional)

I agree to the Terms of Use (required): Please make a selection. Your request will be sent to us through an unsecured e-mail. By sending us this request, you acknowledge that we have your permission to view the information and that you have sent this to us voluntarily.

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Scheduling

We can call you as early as 7:30 a.m. or as late as 5:00 p.m. Monday through Friday.
The best day and time to reach me is:


Please select the location for your mammogram appointment.

California Campus Breast Health Center - 3698 California St. San Francisco
St. Luke's Campus Breast Health Center - 3555 Cesar Chavez St. San Francisco

    

Comprehensive Breast Health Services

California Pacific Medical Center

CPMC provides personalized patient care. We use digital mammography for the best quality images and feature some of San Francisco top-rated radiologists, best breast surgeons, and best breast reconstruction microsurgeons in the San Francisco Bay Area, Marin county and Northern California.