Free Mammograms
Friends in Pink, Inc. is dedicated to supporting individuals in our community by covering the cost of mammograms for those who are uninsured. Early detection is key, and we’re here to help ensure everyone has access to this important screening.
Eligibility Requirements
Friends In Pink, Inc. may provide financial assistance for your mammography screening. Priority will be given to applicants permanently residing in Martin, Saint Lucie, or Indian River County, Florida. Please complete the enclosed application and provide us with the following documents:
- Must be a legal U.S. citizen.
- Completed Privacy Authorization Disclosure form (HIPAA).
- Copy of Florida Driver’s License or Florida Identification Card.
- Copy of Social Security Card.
- Copy of Alien Card, Citizenship Certification, or Work Permit, if applicable.
- Copy of Birth Certificate.
- Copy of the last paystub from an employer, if applicable.
- Copy of unemployment compensation check stub, if applicable.
- Copy of all vehicle registrations.
- Copy of health insurance policy, if insured.
- Letter of support, if applicable.
- Copy of recent utility bill (power, phone, cable, or water).
- Copy of the most recent income tax return.
How to Apply
1
Fill Out the Questionnaire and Application
Please download and complete the questionnaire and application forms provided below:
2
Print, Mail, or Email Your Questionnaire Application
Once completed, print and mail your application to:
Friends In Pink
774 W Midway Road
Fort Pierce, FL 34982
Or email it to: info@friendsin.pink
3
Keep a Copy for Your Records
We recommend keeping a copy of your application and form for your records.
If you need assistance with providing the above documents or completing the application, please feel free to contact us at (772) 785-8730, and we will be happy to help you though this process.