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Digital Mammography

  • Mammography pre-registration

Mammography Pre-Registration

Before your appointment: Please complete and submit the form below at least 48 hours before your appointment. If your appointment is less than 48 hours away, please pre-register by phone, Monday-Friday, 7 a.m.- 5:30 p.m., at 402-481-5002.

In order to complete this process efficiently, we recommend that you have the following readily available.

  • Your provider’s name who is ordering your mammogram
  • All applicable insurance cards

On the day of your appointment: Please bring your insurance card and driver’s license/photo ID and your mammogram order from your provider (unless your provider faxed this directly to the Bryan Scheduling Center).

Questions: If you have questions about your pre-registration, please call the Bryan Pre-Access Center at 402-481-5002, Monday-Friday, 7 a.m.- 5:30 p.m.

Patient Information

If you don’t know your doctor’s first name, please provide the physician practice name in the Ordering Physician Last Name box.

If you don’t know your primary care doctor’s name, please enter unknown in the Primary Care Physician Last Name box.

* Are you sensitive/allergic to latex?
Do you have a Health Care Power of Attorney? If yes, please bring a copy with you.
Do you have a Living Will? If yes, please bring a copy with you.
* If someone asks if you are here during your stay, is it okay if we tell them yes? If you answer no, we will not provide acknowledgement that you are here for this appointment.
Are you a research study participant in which your study would pay for your mammogram?

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