Prostate Cancer Screening Sign-up Form

This free prostate exam is brought to you by Upstate Urology at MVHS, the test will consist of a prostate exam with a prostate-specific blood test and is recommended for all men ages 45 to 75. This year’s FREE prostate screening exam will be taking place at Upstate Urology at the MVHS Faxton campus as well as the Sister Rose Vincent Family Medicine Center on Hobart Street in Utica.

Upstate Urology at MVHS is located at the MVHS Faxton Campus, 1675 Bennett Street, Utica, NY. Use the Bennett Street entrance and take the Green Elevators to the second floor.

Sister Rose Vincent Family Medicine Center is located at 120 Hobart St, Utica, NY. Enter through the main entrance on Hobart Street.

These screenings will be held four times throughout September:

Wednesday, September 6, 13, 20 and 27 at Upstate Urology at MVHS

Friday, September 22 at Sister Rose Vincent Family Medical Center

All four sessions will run 9 a.m. to noon and 1 p.m. to 3 p.m.

Name *

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Last

Address *

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City

State

Zip Code

Phone *

Date of Birth

Email *

Which session are you hoping to attend? *A best effort will be made to get you in at this date but this does not guarantee there is an available appointment.

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