Home
Contact Us
Newsletter Sign-up
Search Options
Our Services
Our Quality
Find an Event
Find a Physician
Health Resources
Careers
About Us
Community Programs
Medical Services
Patient & Visitor Information
Online Services
Our Commitment to Quality
Quality Programs and Recognition
Core Measures of Quality
Welcome from the CEO
Quality Recognition
Hospital News
Virtual Tour of Our Hospital
Insurance Plans
Important Phone Numbers
General Facts
Notice of Privacy Practices
For Physicians
New To The Area
Nurses
Mission and Vision
Auxiliary Offering Student Scholarships
Breast Cancer Risk Assessment
Care, Share and Be Aware Support Group
Childbirth Classes
Choosing a New Doctor
Colorectal Cancer Risk Assessment
Community Outreach
CPR Class
Diabetes – Tips for Eating Out
Diabetes Risk Assessment
Diabetes Support Group
Digestive Disorders
Five Signs You Are Having a Stroke
Gift Shop
Go Red For Women
H1N1 Flu Information Line
Health and Safety for Children
Library
Little Cup of Comfort Helps Ease Transition Back Home
Physician Referral Made Easy
Poison Prevention
Preventative Health Services
Prostate Screening
Protecting Your Health Information
Snoring Its No Joking Matter
Speakers Bureau
Stroke: Are You At Risk
Support Groups
Tired of Taking Antacids-You May Be a Candidate for Heartburn Surgery
Volunteering
Warning Signs of a Heart Attack
Weekend Hours for Outpatient Services
What to Expect During a Sleep Study
Women and Heart Disease
Your Heart Health
Your Role In Preventing Surgical Infections
Community Programs
Medical Services
What Is Atrial Fibrillation?
Minimally Invasive Treatment for A Fib
Causes of Atrial Fibrillation
Atrial Fibrillation Risk Factors
Symptoms of Atrial Fibrillation
Number of People Who Have Atrial Fibrillation
Diagnosing Atrial Fibrillaton
Animated Surgery Video
Atrial Fibrillation
Back Pain
Balance System - Helps Identify Fall Risk
Bariatric Surgery
Bone Density Services
Breast Center
Certified Quality Breast Center of Excellence: Only Center of Excellence in Texas
Mammography Services
Our Breast Health Team
Patient Testimonials
Mammo Pad - A Softer Mammogram
Schedule Your Mammogram-Without a Referral
Bone Density Services
Breast Cancer Support Group
Breast Cancer Risk Assessment
What to Expect During a Mammogram
Digital Mammography
Breast-Specific Gamma Imaging
Computer-Aided Detection
Contact Us
Women's Health Resources
Patient Form
Open Forums to Discuss Breast Cancer Issues
Meet The Radiologists
Cancer Services
Cardiac Rehab
Recognized Leader In Cardiac Care
Cycle III Accredited Chest Pain Center
Mentor Hospital for Heart Attack
Recognized By The American Heart Association
Blue Distinction Center for Cardiac Care
Edward Roberson, M.D. (Dr. Ed)
Physician Referral
Take Care of Your Heart
Check Your Heartbeat
Free Preventative Cardiac Screenings
Mended Heart Support Group
Warning Signs of Heart Attack
Door to Balloon Time at Houston Northwest Medical Center
Cardiovascular Services
Cath Lab
Diabetes Self-Management Education Program
Diagnostic Imaging Services
Colorectal Cancer
Diagnostic Services
Physician Referral
What to Expect Before During and After Your Procedure
Digestive Disorders
Emergency Department
Endoscopy Services
Causes of GERD
Symptoms of GERD
Is Surgery The Right Treatment Option for Me
Risks of Not Treating Heartburn
Impedance pH Monitoring Technology
Find a Physician Today
About GERD
What is Heartburn?
Diagnosing Heartburn and GERD
Treatment Options
Houston Heartburn Center
Image Guided Surgery
Interventional Radiology
Lymphedema Management Program
Maternity
Neonatal Intensive Care Unit
Oncology Services
Orthopedic Services
Outpatient Surgery Services
Pediatric Hospitalist Program
Pediatric Services
Pulmonary Rehabilitation
Rehabilitative Services
Senior Care
Sleep Center
Health Resources
Non-Surgical Treatment Options
Relieving Pain and Restoring Lives
Surgical Spine Procedures
Blue Distinction Center for Spine Surgery
Spine Care Center
Sudden Cardiac Death
Surgical Services
Urology Services
Varicose Vein Treament
A Tradition of Quality
Advanced Directives
Best Way to Treat an Infection Is Prevention
Cafeteria/Subway/Vending Machines
Commitment to Quality Care
Common Tests and Procedures
Financial Assistance Programs
Gift Shop
Important Phone Numbers
Insurance
Making Healthcare Decisions
New To The Area
Online Bill Pay
Pastoral Care
Patient Safety/Infection Prevention Tips
Protecting Your Health Information
Sips Coffee Shop
Staying With Us Information and Tips
Virtual Tour of Our Hospital
Visiting Hours
Patient & Visitor Information
Online Services
Houston Northwest Medical Center
710 FM 1960 Rd W
Houston, TX 77090
Get Maps & Directions
Houston Northwest Medical Center
>
English
>
Our Services
>
Medical Services
>
Breast Center
>
Patient Form
Email
Printer Friendly
Patient Form
Click here for the online
Mammography Disclosure and Consent and Breast Questionnaire
.