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Mammogram Screening Application

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Can't afford a mammogram? Would you like to become part of our mammogram funding program?

Should you not be able to afford a mammogram screening, please fill out the form below and we will get back to you.

In partnership with health practitioners in the Screen Her Save Her health practitioners network, we aim to provide access to gold-standard breast cancer screening (mammogram and breast ultrasound) to women in South Africa.

If you cannot afford a mammogram, please complete the application form below. Upon approval of the application, we will connect you with a provider in your area that can assist.

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Are you due for your mammogram, but do not have the required funding?

Please complete the application form below. Upon approval of the application, we will connect you with a provider in your area that can assist.

Get in touch so we can start working together.

We will get back to you as soon as possible

Thanks for submitting!

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