Free Fibroid Online Screening

Now you can screen yourself for symptoms related to fibroids and view your appointment options

It takes only 40 seconds to complete our survey.

Get started now to determine if your symptoms are treatable

Please Answer the Following Questions to Complete Your Screening

I am a woman with questions about treatment options for fibroids *

Yes, I am a Woman

I am not a Woman

I Experience Heavy Bleeding During My Menstrual Period(s) *

Yes

Sometimes

My Periods are Usually Longer than 5 Days and/or I Experience Bleeding When not on My Period *

Yes

Sometimes

I Experience Pelvic Pain During my Periods and at Other Times of the Month *

Yes

Sometimes

My Symptoms Bother me and Impact my Happiness *

Yes

A Medical Doctor has Informed me that I Have a Fibroid *

Yes

Not Sure / Uncertain

If You are a Candidate for Fibroid Treatment, How Ready are You to Get Relief through a Successful Treatment that Preserves Your Uterus and Womanhood *

YES! I am Ready to Schedule My Appointment

Not Sure - I have some questions

I do not want to fix my fibroid issue(s)

These Appointments are very limited and available on a first-to-schedule basis. After you complete this brief assessment, you will be able to speak directly with one of our friendly staff who can answer any questions you may have. Do you still want to request your appointment or do you prefer to leave the slots open to other people? *

YES, I want to request my appointment

No thanks -give it to someone else

Complete below so we can provide you with a complimentary insurance assessment

Insurance Coverage: *

Medicare

Private Insurance

HMO

PPO

Medicaid

HMO Kaizer

No Insurance/ self-pay

Which Location is The Most Convenient for You? *

Which Location is Most Convenient for You?

Waldorf, Maryland
Camp Springs, Maryland
Reston, Virginia
Washington, DC
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First Name *

Last Name *

13. Confirm Your best email address:

(Then press enter/ next) *

Verify Current Mobile Phone Number:

(Then press Enter/ Next) *

Questions? Call Us

(301) 709-4950

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