Do I Qualify?

Do I Qualify for a FREE Screening?

How many people are in your household?

Please choose your family size to see if you qualify for free screening services*
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Your family can make up to $36,450 to qualify for free screening services.

*Effective March 2025

How can I apply?

You can apply for the Breast & Cervical Cancer Screening Program by calling 800-717-1811 or clicking on the link below.

 

Application

If English is not your primary language, the form is also available in Spanish. Select the English button in the upper-right hand corner.