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Apply for Ladies First Services

image of an application formDownload the application packet which includes the program application, eligibility information and a covered services chart.

 

Claim Form Information: HICF 1500 and UB-04

*All documents in pdf format.

HICF 1500

UB-04

About Ladies First

Ladies First is a health screening program for Vermont women. Ladies First removes financial barriers which prevents many women from being screened for breast and cervical cancer and heart disease.

Federally funded through a grant to the Health Department, Ladies First pays for:

Services are provided locally, by the woman’s own physician in most cases. Ladies First also pays for repeat mammograms, ultrasounds, biopsies, and colposcopies.

Early and regular screening is key to reducing the death rate from cancer and heart disease. Women who are older or have limited income are at higher risk to develop cancer and heart disease, and less likely to be screened for cancer.

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