To schedule a Lung Cancer Screening appointment or learn more about our program, please call 571-472-1380 or complete the form below. Please note that annual lung cancer screening with low-dose computed tomography (LDCT) is recommended for adults ages 50 to 77 who have a 20 pack-year smoking history and currently smoke, or have quit within the past 15 years. If you do not fit the outlined criteria, the screening may not be covered by your insurance plan. You must have JavaScript enabled to use this form. First Name Last Name Phone Email address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Select the service you are interested in: Lung Cancer Screening Lung Consult for a Second Opinion Insurance Carrier Please tell us the best time to reach you, Monday - Friday between 9 a.m. and 4 p.m. By submitting this form, you are confirming that you would like to receive health and wellness information from Inova. You can unsubscribe if you find it is not meeting your needs.
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