Breast Screening from Niramai (brought to you by Miyara)
Niramai's novel Breast health screening solution is completely painless, no see, no touch, radiation free. It helps detect lesions at an early stage and works for women of all age groups- from 18 years to 65 plus years of age.

Who should get home test done?
     1. Women who are due for a screening mammogram but are unable to visit a healthcare facility due to the
         Covid-19 situation.
     2. Any female with a lump and other breast cancer symptoms.
     3. Any female above 25 years even without any symptoms
     4. Women at high risk of breast cancer due to family history, and
     5. Breast cancer survivors who need frequent monitoring.

If you would want to book screening for more than 1 person in the same location (house or building complex), please do add details of names below and we can provide a discount.

For more information on Niramai - go to https://www.miyarahealth.com/novel-breast-cancer-screening
  
At Miyara Women (www.miyarawomen.com), our vision is to prioritize and ease a women’s health journey, esp. during midlife and the transition to menopause.We bring a holistic and preventive approach focusing on general health, gut health, fitness, and mental health.

If you have questions, you can send enquiries to miyara.women@gmail.com or send WhatsApp message on +91 63662 91668

Join our community on WhatsApp https://chat.whatsapp.com/EVEYxWUoSjZB4hXYv9iY5I


Sign in to Google to save your progress. Learn more
Email *
Which city do you want the service in? *
Date you would like the test (Fill the preferred date. Due to hormonal changes during menstruation, it is better to keep a gap of one week between your last menstrual period and the screening appointment). 
MM
/
DD
/
YYYY
Time (Preferred)
Name *
Name of additional participants
Telephone No. (to contact when arriving to conduct the screening) *
Address *
Landmark
Declaration
I, my family member or anyone at home (and complex if it is community screening) are currently not at a risk of Covid 19 in any manner.

I have not travelled domestic/international in the last 14 days.

I, my family member or anyone at home have no flu like symptoms of fever, cough, breathlessness, sore throat etc.

I have not come in contact with any Covid19 positive patient in the last 14 days.
Do you agree with this declaration? *
Required
I agree to receive newsletters from Miyara Women with information about women's health. (We promise not to spam you) *
Required
Check details before submitting

The cost of the test is INR 3000 for 1 person. 
If there is more than 1 person in the exact same location, the cost for the others is INR 1500.
For eg. cost for 2 people = 3000 + 1500 = INR 4500 

Payment will be through Online payment. If you fail to make the payment, the test will not be conducted.

Niramai breast cancer screening video
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy