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Jarvis Breast Care
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Book/Change your Appointment

If you have received a letter from the screening appointment inviting you to book an appointment then you can use this form to request a convenient date or time. In light of COVID-19, and the delays encountered when screening was suspended, we will book you at an appointment at the van scheduled for your GP Practice. (Details of this can be found in the "When will I get my appointment"). You can also change a previously booked appointment. Please fill in the form below, selecting one of the locations detailed and click submit at the bottom of the page. We will send you a confirmation letter with your new appointment details. (Please note you will be asked for your mobile telephone number if available when you attend for an appointment).

We do not have facilities for children and are unable to accommodate dependants on our mobile units.

If you don't have an existing appointment and are in the age range 50 -71 you can check when GP practices in your area are due for screening, follow link: 'when will I get my appointment' or by telephoning the centre on 0333 200 2062. This will give you an idea of when your appointment is likely to be.

If you are over 71 and have not been screened for over 3 years, you are welcome to complete this form to request an appointment.

NB: Please select a location from the list shown below.

Your Preferences
Preferred screening site(s) *
Please select at least one site
NB: Sites are not available indefinitely.

Your Details

Please enter your client number (screening reference number), this number is in the top right corner of your invitation letter and starts with the letters HGU or ZAC or ZAS.

Additional Information

Disclaimer *