BCCA - Screening Mammography Consent Form
Screening Mammography Program of BC
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Screening Mammography Program of BC Consent

 

The Screening Mammography Program of BC is administering this contact request on behalf of the BC Cancer Agency. Disclosing your personal information is voluntary and will be kept confidential. Nobody will use any of the information you provide for any other purpose than to contact you to set up a screening mammogram on behalf of the BC Cancer Agency. This is a support tool only. You are responsible for having regular mammograms and discussing any health concerns with your health care provider.

Your privacy is very important to us, and we have limited the personal information collected. However, all internet messages are exposed in transit on the web. This means someone may be able to access your contact information. Also, the message may flow outside of Canada and be subject to the laws of another country. The risks are low but users should be aware of them.

The personal information you enter on this page is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act of BC (FIPPA). If you have any questions about collection and use of this information, please contact the Screening Information Management Leader at 604-877-6200 or write to 801 - 686 W Broadway, Vancouver, BC, V5Z 1G1.