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Request a Lung Cancer Screening

The National Cancer Institute (NCI) conducted a large national lung screening trial (NLST), which showed a benefit in detecting lung cancer earlier in heavy smokers using a low-dose CT scan. Essentially, it comes down to how long and how much you have smoked in your lifetime.

People Who May Be Candidates for Lung Cancer Screening

  • Current or former smokers, between the ages of 50-80, who have quit within the last 15 years
  • Smokers, between the ages of 50-80, who have a 20-pack-a-year smoking history (For example, one pack a day for 20 years or two packs a day for 10 years).
  • Nonsmokers who have been exposed to second-hand smoke
  • Nonsmokers who have had previous radiation therapy
  • Nonsmokers who have had exposure to radon gas, asbestos, or other carcinogens
  • Nonsmokers who have a family history of lung cancer

If you think you may be a candidate for a low-dose CT scan to screen for lung cancer, please follow the steps below:

  1. You must first visit with your primary care physician so they can determine if you are an appropriate candidate for a low-dose CT scan to screen for lung cancer
  2. If your physician deems you an appropriate candidate, they must complete a prescription form (download the prescription form here) for a lung cancer screening
  3. Once these two steps are complete you can request a screening appointment using the form below. Please note that depending on your insurance, you may need a referral or authorization for a lung cancer screening.