Request a breast screen appointment form

Complete the form below to request a breast screening appointment.

An email confirmation will be sent to the email address you supply. If you haven't heard back from us within 2 business days, please contact us by:

• Email: [email protected]
• Phone 13 20 50 or (03) 6166 2787 (interstate callers only)

Do you need an interpreter? Call 13 14 50.