PATIENT INFO > FORMS

Have an appointment at our center?  You can download our patient information and registration forms online, so you can complete them in the privacy of your own home.

Click here for screening mammogram form with exam release

Click here for diagnostic mammogram form with exam release

Click here for bone density test form with exam release

 

Be sure to bring all signed and completed forms with you to your appointment.

 

 

Bertrand Breast Center
Thank you for referring your family & friends!

1126 North Church Street Suite 103
Greensboro, North Carolina 27401
336-379-0941 FAX 336-379-7997
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