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MISSION GREEN LIGHT, INC.
spreading the rays of hope

CLINICS

Breast & Heart Screening Clinics' Schedule

As soon as we are able to organize our free clinics we would be posting the schedule for our clinics and their locations on this page. If you are an uninsured woman living in the State of Illinois and  interested in availing the free breast and heart screening services then we request you to please fill in the registration form on this page. Those registered wih us would be the ones contacted first.to avail these free services.


Registration Form 
Free Breast and Heart Screening Services

Registration Form

I am interested in availing the free breast and heart screening services. I am an uninsured woman and permant resident of Illinois. Please register me in the free program and inform me as soon as the clinics are scheduled.
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:





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