Mammography. Breast Ultrasound. Breast Intervention Studies. Bone Densitometry

Mammography Referral Form

Mammography: X-rays of the breasts.
• Screening: No new breast symptoms
• Diagnostic: New breast symptoms

* For the best early detection of breast cancer follow the American Cancer Society’s Guidelines:
Regular self breast exam. Yearly visits to your healthcare provider. Yearly mammograms beginning at age 40

Breast Ultrasound: Ultrasound of the breasts.

Breast Intervention Procedures:
• Stereotactic Biopsy
• Ultrasound Guided Biopsy
• Ultrasound Guided Cyst Aspiration
• Needle Localization
• Ductogram

Bone Densitometry:
• Heel Screening is a test for patients with no known osteoporosis risk factors. No
appointment is necessary.
• Hip-Spine exam is for a patient with known osteoporosis risk factors. This exam
must be scheduled.

To schedule exams please call 647-2422 7 am to 6 pm
Referral forms delivered to you. Call 647-2429 ext. 119
The most recent order form for these exams can be downloaded here.