Houston Methodist Lung Cancer Screening Interest Form




Houston Methodist provides patients with expert care for the detection and treatment of lung cancer, including access to expert physicians, state-of-the-art technology and advanced treatment options. To learn more about our Lung Cancer Screening Program or to find out if you qualify, complete the form below. A representative will contact you within two business days.

To protect your privacy, all of our online forms are encrypted and stored in a secure location. Please note that while our forms are secure, any communication via e-mail may not be secure, so please consider that when selecting a way for us to contact you.

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Are you a current or former smoker?

If you are a former smoker, did you quit less than 15 years ago?

How would you prefer to be contacted?

I would like to stay connected with Houston Methodist on upcoming events, health tips and newsletters.
 
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