Healthy Lungs in Florida Screening Program Application
To qualify for the Healthy Lungs in Florida screening program, you must meet the criteria listed above and all three of the following requirements:
- You are a resident of Florida, specifically near the Treasure Coast.
- You have a prescription from your physician.* If you do not have a prescription, we can assist you in obtaining one.
- You cannot afford the exam. No tax documentation is required, just a short application.
*If your doctor has recommended a diagnostic Chest CT exam, you will not qualify for this screening exam.
If you feel you meet the exam criteria and qualifications above, the process unfolds as follows:
- You complete the financial application.
- After your application is reviewed, a Florida Lung Health representative will contact you.
- If your application is approved, we'll provide you with a list of participating imaging centers and a voucher to pay for the exam.
- You schedule your exam at the most convenient time and location.
(ALL fields on this form are required.)