PSA Screening - The Center for Cancer and Blood Disorders

Please fill out the form below to request an appointment for a PSA Screening

Appointment Location(Required)

Please select the location for your appointment

Name(Required)

First Name Middle Initial Last name

DOB(Required)

Patients must be male, age 40 and above to qualify for the PSA Screening.

PHONE NUMBER(Required)

EMAIL(Required)

What is your preferred appointment date and time? (Available Monday through Friday 12-4pm)

PHI Submission Notice

While CCBD will use reasonable administrative and technical safeguards when transmitting your electronic PHI in accordance with applicable law, we also realize that there are inherent risks when communicating via email. Therefore, please be aware that by choosing to send your protected health information (PHI) and related communications via email, you are agreeing to accept the risk that your PHI may be intercepted or viewed by persons with access to your email who may not be authorized to receive such information when you consent to communication through email. CCBD will not be responsible for any privacy or security breaches outside of its control that may occur through email communications that you have consented to.