Request a Mammography Appointment

Orem Community Hospital encourages women over age 40 to get an annual mammogram.

​​To request a mammogram appointment, please fill out the form below. Our scheduling team will contact you, based on your contact preference, and set up a mammogram appointment that works best for you.

If you have any questions or concerns, please give us a call.

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Please use the date format of MM/DD/YYYY (e.g. 11/28/1988)
How would you prefer we contact you?

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Which days of the week would be best to schedule your mammogram?





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Best time of day to schedule an appointment?


 
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