Share Your Story & Get a Chance to Win Disney on Ice Tickets

Minnie mouse icon with breast cancer awareness ribbons.

What's Your Magical Moment?

Want a chance to win tickets to Disney on Ice? Simply share one of your life’s magical moments using the form below, and you’ll be entered for a chance to win.

Each moment shared will be transcribed on a post-it to create a beautiful mural at one of our imaging facilities in October. Sharing your magical moment could inspire other women to book their annual mammogram.

Click Here to Share Your Moment

Share Your Magical Moment

Name*
First Last
Email*
Phone*
Format: (###) ###-####
Your Special Moment Title
Share some details about your magical moment.*
* By clicking the Send button, you agree to the following:
Consent*
I agree to the content privacy notice.
Sharing your story and personal details is voluntary. Please review the following terms and conditions before sharing your story. By sharing your story (e.g., your personal experience, photo, radiology procedure, diagnosis and/or treatment, etc.), you are indicating that you have read, understand and agree to these terms and conditions. Specifically, you , understand, agree that Jefferson Radiology shall have the right, where permitted by law, to print, publish, distribute, and use in any media now known or hereafter developed, in perpetuity and throughout the world, without limitation, your entry, name, portrait, picture, voice, likeness, image, statements about the campaign, and biographical information for publicity, marketing, and promotional purposes, without any further compensation, notice, review, or consent. You further agree that Jefferson shall have the right to remove, edit for length, clarity and style, move or delete any content at any time should it see fit.

Booked your annual mammogram, yet?

To schedule your annual 3D Mammogram, simply reach out to our main scheduling office at 860-291-6569. Our friendly staff will assist you in finding the most convenient time for your appointment.

Magical Moments

What's Your Magical Moment?

Share Your Magical Moment

Booked your annual mammogram, yet?

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