Request a Group Booking

Request a Breast Screening Group Booking  Appointment

Complete the form below to request a group breast screening appointment. Fields marked with an asterisk (*) require to you enter the relevant information before the request can be send to BreastScreen Tasmania.

Preferred contact type
Preferred appointment location

If you select mobile unit, please enter your preferred mobile unit location in the Comments field at the end of this form. view mobile unit itinerary (dates and locations)
Appointment date - first preference *
Appointment time - first preference
Appointment date - second preference *
Appointment time - second preference
Appointment date - third preference *
Appointment time - third preference
    An email confirmation will be sent to the email address you supplied above.