4 Words Foundation, Inc.

Because Awareness DOES Matter!

Financially supported through a Grant provided by Pfizer

FREE
Low Dose CT Lung Cancer Screenings
Limited "FREE" screenings available in November.
Once we have acknowledged receipt of your registration you will be contacted by Radiology Regional to schedule your appointment.

Register

Below

Please provide name of Physician to receive LDCT Lung Cancer Screening Report
Patient Name
Street Address
City, State, Zip
Email Address
Phone Number
Last for digits of SSA#
Smoker
- Current Smoker
- Past Smoker
- Never Smoked
Gender
- Male
- Female
Age Group
Race
Full Time SWFL Resident
- Yes
- No
Submit

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Our Corporate & Individual Sponsors

Telephone: 239.887.9264 Email: info@4wordsfoundation.org

Legal Information / Privacy Policy / Refund Policy

STATE FUNDRAISING NOTICE

Financial information about 4 Words Foundation, Inc. can be obtained by contacting us at info@4wordsfoundation.org or

(239) 887-9264.

"A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-HELP-FLA OR ONLINE AT www.FloridaConsumerHelp.com, REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE." Our Registration in Florida is CH39439 and in Connecticut is CHR.0059501

4 Words Foundation, Inc.

Because Awareness DOES Matter!

FREE Low Dose CT Lung Cancer ScreeningsLimited "FREE" screenings available in November.Once we have acknowledged receipt of your registration you will be contacted by Radiology Regional to schedule your appointment.

Our Corporate & Individual Sponsors

FREE
Low Dose CT Lung Cancer Screenings
Limited "FREE" screenings available in November.
Once we have acknowledged receipt of your registration you will be contacted by Radiology Regional to schedule your appointment.