Mobile Cancer Screening brought to you by the Roswell Park's Community Outreach and Engagement

Thanks for your interest in hosting EDDY — Early Detection Driven to You!

After you complete the form below, one of our team members will review your submission and contact you within 2 weeks. We typically schedule our mobile units 3-4 months in advance to allow time for us to complete community outreach efforts and schedule appointments. Any request earlier than that timeframe will be reviewed and honored if we have open availability!

Screening Requested

Requesting Organization Information
Preferred Method of Contact
Organization Address
May we contact you for future projects or studies?

Day of Event Information
Unit Parking Address (if different from above)
Ex: Next to building in the parking lot
Will a Street Permit Be Needed?
Does your Organization Require a Certificate of Insurance?
Certificate Holder Address (if different from parking location)