Looks like you're using an old version of Internet Explorer. Please update your browser or switch to Chrome or Firefox to view WakeRad.com.

Home » FOR PATIENTS » Make an Appointment » Schedule Mammogram

Did You Know?

At Wake Radiology, accuracy matters.

Your Wake Radiology mammogram includes:

✔ Review of relevant medical history

✔ Review of all prior images

✔ Comparison against your most recent mammogram  

Learn more about Wake Radiology Breast Imaging

Schedule a screening mammogram

It’s easy to schedule a 2D or 3D mammogram at Wake Radiology.
Simply fill out the information below, and you will quickly hear back from our schedulers to finalize your appointment.

Mammogram Appointment Request - Patient Information

*Your First Name

Your Middle Name

*Your Last Name

*Your Date of Birth

*Best Phone Number

Alternate Phone Number

Would you like a confirmation of this screening request via email?

*Will you be using insurance?

Who Is Your Referring Doctor?

Doctor's First Name

*Doctor's Last Name

*Practice Name

Need a Doctor? Click here.

Some General Questions

Do you have breast implants?

Have you had a mammogram before?

Do You Qualify for a Screening Mammogram?

You DO NOT qualify for a screening mammogram if you’ve had breast cancer or if you are experiencing any of the following: unilateral new pain, new discharge, lump(s), mass, density, new nipple inversion, or short term follow-up or any follow-up suggested by radiologist

Appointment Preferences

*Have you been to Wake Radiology before?

What is your preferred location?

Important Terms

I am requesting an appointment for a screening mammogram and understand that I will receive a confirmation of this request at the email address that is listed above. If I have not supplied an email address or if I don’t receive a reply, I understand that I can call WR Express Scheduling at 919-232-4700 and request an appointment. I verify that I am an established patient with the referring doctor that I have listed in this request.

By submitting the appointment request form, a member of our Scheduling team will contact you within 48 hours to set up your appointment at the specified date, time and location. If you contacted us on a weekend or holiday, please allow one additional business day. Email from Wake Radiology can be trapped by email filters. Please check your junk mail folder or adjust your span filters to allow mail from .

Please answer this simple question to submit53 − = 49

Thank you!

Your mammogram appointment request was sent successfully. We will be in touch within 24 hours to confirm your appointment date, time and location. If you contacted us on a weekend or holiday, please allow one additional business day. Email from Wake Radiology can be trapped by email filters. Please check your junk mail folder or adjust your spam filters to allow mail from <wakerad.com>. Click here to learn more about our breast imaging services.

Pin It on Pinterest

Share This