Service Area

Dollars for Mammograms serves women who live within the following zip code boundaries:

• Englewood & Grove City 34223 & 34224
• Cape Haze & Rotonda West 33947
• Placida 33946
• Boca Grande 33921
• Port Charlotte 33948, 33952, 33953, 33954, 33980, 33981 & 33983
• Punta Gorda: 33950, 33955 & 33982
• North Port 34286, 34287, 34288, 34289 & 34291
• Venice 34284, 34285, 34292, 34293 & 34275

How to Apply for Services

Applications can be obtained from Sarasota and Charlotte County Health Departments, Care, Helping Hands, your physician’s office or by writing to Dollars for Mammograms or open the application document and print it from here:  Application-and-Guidelines.pdf.  Please be sure that you reside within the zipcodes which are serviced by Dollars for Mammograms.  Zip Code coverage.

Application Guidelines

• Age 40 and above unless medically necessary at a younger age.
• Must have financial need based on total combined yearly household income. (See application for details)
• Only full-time Florida residents are eligible to apply with proof of residency. Attach one of the following: copy of Florida drivers license, Florida Voter Registration Card, or Florida ID to application.
• You may submit only one application in a twelve (12) month period.
• Prescription for mammogram (from healthcare provider) must be attached to completed application.
• You must go to a Dollars for Mammograms assigned facility to ensure payment of mammogram.
• Failure to provide accurate information and/or follow our guidelines may result in current and/or future rejection from this program.