



     <!-- SiteMaker 6.5 CMS (TM)
     Code created by Medseek, Inc. 2028 Village Lane, Solvang CA 93463.
     Phone 1-888 MEDSEEK. email info@medseek.com. http://www.medseek.com 
     (c) 1999-2006 Medseek, Inc. All rights reserved.-->
    













	
	
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 

	
	
	
	
	
	
	
	
		
	

	
	 
	
	
	
	
	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	

	
	

	
	

	
	

		
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		
	
	
		
		
	
		
	
	
		
	
	
	
		
	
	
	
	
	
	
	
	

	
	
	
	
	
		
		
			

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
		

		
	
	
	
	




	
	
	

	
	
	
	
	
	
	
	
	
	

	
	


	
	
		
			
		
	
	
	
	
	
		
			
		
	
	
	
	
	

 


	
	
	
		



		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
			
		
		
			

		

		
		
		
	
		

		
		

		
		
		
		
			
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
		

		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
		
		

		
		
		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		

		

		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		

		
		
		
		


		
			

		

		
		
		

	
		
		
		
		

		


	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 
	
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	
	
	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	




 

		
	

	
	
		



































	

 

























































<html>
<head>








	
		<title>Buddy Check Kit Request Form- Washington, DC</title>
	
	

<!-- End Title Processing -->
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<link rel=StyleSheet href="scripts/styles.css" type="text/css">
<script language="javascript1.2" src="scripts/embedWindows.js"></script>
<script language="JavaScript" type="text/JavaScript">
<!--	
function openWin(url, w, h) {
                        var newWindow= window.open(url,"newWindow","height="+h+",width="+w+",dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
                        newWindow.focus();                                                                  
}
function fnShowLarge(folderName,imgName,imgWidth,imgHeight)
{
     var newWidth = -1 * (imgWidth * -1) + 50;
     var newHeight = -1 * (imgHeight *-1) + 60;
     var strURL = "medImgFull.html?imgsrc=" + imgName + "&folder=" + folderName;
     var newImgWin = window.open(strURL,"newWindow","width=" + newWidth + ", height=" + newHeight + ",dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=auto,resizable");
     newImgWin.focus();   
}
//-->
</script>
		<script type="text/javascript" src="/scripts/askADoc.js"></script>
<script type="text/javascript">
function showMedia87A93826(){
	window.open("mediaPlayer/?display=webcast&mediaID=87A93826-5E2D-4666-A148-70C853FE52CF","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
function showMediaDA81E93E(){
	window.open("mediaPlayer/?display=webcast&mediaID=DA81E93E-6483-460D-B82C-89E8E9BBBDCE","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
function showMediaB718161C(){
	window.open("mediaPlayer/?display=webcast&mediaID=B718161C-6B7C-47FB-9EDD-49BB71FED7B3","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
</script>

			
				<link rel="stylesheet" href="scripts/smm_channelmgr.css" type="text/css">
			
		</head>
<body leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" style="background-color:#ffffff;" bgcolor="#ffffff">


	
	

	
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	
		
		
		
		
		
		
		
		
		
	

	
	

<!-- Header-->
<script language=javascript>
<!-- 
function PopUp(id)
		{
				var CaseWin=window.open("VideoPlayer.cfm?Video=" + id, "CaseWin", "dependent,menubar,resizable,width=675,height=359,scrollbars");
				CaseWin.focus()
		}
function VideoPlayer_G2(id)
		{
				var CaseWin=window.open("VideoPlayer_G2.cfm?Video=" + id, "CaseWin", "dependent,menubar,resizable,width=675,height=359,scrollbars");
				CaseWin.focus()
		}
function VideoPlayer_G3(vidName)
{
      var videoAddress;
      videoAddress= "VideoPlayer_V2.cfm?Video=" + vidName;
      var newWindow
      newWindow= window.open(videoAddress,"newWindow","height=434,width=766,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
                        newWindow.focus();   
}
function MediaPlayer(mediaID){
	var videoAddress="mediaplayer/?mediaID=" + mediaID;
	newWindow= window.open(videoAddress,"newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
    newWindow.focus();   
}
-->
</script>
<table width="760" height="116" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF" id="Table_01">
	<tr>
		<td>
			<a href="http://www.georgetownuniversityhospital.org/default.cfm">
				<img src="images/R2005/Sub/Logo1.gif" width="152" height="34" border="0" alt="Georgetown University Hospital Home"></a></td>
		<td width="425" height="34">			<img src="images/R2005/Sub/spacer.gif" width="425" height="34" alt=""></td>
		<td>
			<img src="images/R2005/Sub/Head_03.gif" width="1" height="34" alt=""></td>
		<td width="182" height="34" align="center" valign="bottom" class="quicknav"><a href="body_fw.cfm?id=573" class="lns">Contact</a> | <a href="body.cfm?id=20" class="lns">Site Map</a> | <a href="aspframe.cfm?articleurl=http://www.healthcaresource.com/msgeorgetown&id=555628" class="lns">Careers</a></td>
	</tr>
	<tr>
		<td>
			<a href="http://www.georgetownuniversityhospital.org/default.cfm"><img src="images/R2005/Sub/Head_05.gif" width="152" height="82" border="0" alt="Georgetown University Hospital Home"></a></td>
		<td>

	


			<img src="images/R2005/Sub/Top_COE.jpg" width="425" height="82" alt="Georgetown University Hospital" border=0></td>
		<td>
			<img src="images/R2005/Sub/Head_07.gif" width="1" height="82" alt=""></td>
		<td width="182" height="82" background="images/R2005/sub/SBack.jpg"><table width="100%"  border="0" cellspacing="0" cellpadding="2">
          <tr>
            <td>&nbsp;</td>
            <td valign="middle">
			<form action="body_search.cfm?id=556341" id="cse-search-box" name="form">
			  <div>
				<input type="hidden" name="cx" value="001139219441725845181:sr9col25fr8" />
				<input type="hidden" name="cof" value="FORID:9" />
				<input type="hidden" name="ie" value="UTF-8" />
				<input class="quickdrop" type="text" name="q" size="12" maxlength="75"/>
				<input height="14" align="absmiddle" width="59" type="image" src="images/R2005/sub/SIcon.gif" name="image"/> 
				<!--<input type="submit" name="sa" value="Search" />-->
			  </div>
			</form>
			<script type="text/javascript" src="http://www.google.com/coop/cse/brand?form=cse-search-box&lang=en"></script>

		</td>
          </tr>
          <tr>
            <td valign="middle">&nbsp;</td>
            <td valign="middle">
			<form name="qs">
			<select name="selectqs" class="quickdrop" onChange="top.parent.location.href = this.form.selectqs.options[this.form.selectqs.selectedIndex].value; return false;">
              <option value="">Hospital Quick Find</option>
              <option value="body.cfm?id=8">Find a Physician </option>
              <option value="body.cfm?id=30">Maps and Directions</option>
              <option value="body.cfm?id=226">Billing and Records</option>
              <option value="body.cfm?id=555576">Resources</option>
              <option value="body.cfm?id=555580">For Your Appointment</option>
              <option value="aspframe.cfm?articleurl=http://www.healthcaresource.com/msgeorgetown&id=555628">Careers</option>
              <option value="body.cfm?id=371">International Services</option>
            </select>
			</form>
			</td>
          </tr>
        </table></td>
	</tr>
</table>


<!-- End Header -->
<!-- Replace the Following with Top Nav -->
<table width="760" border="0" cellpadding="0" cellspacing="0" bgcolor="#CCCCCC" class="TMenuBorder">
	<tr>
		<td align="center" background="navtools/topmenu/tmb.gif">
<SCRIPT LANGUAGE=javascript>
<!-- //

function getTopNavData()
{

	var data = 'this.item0 = "About GUH"; this.url0 = "../../body.cfm?id=219"; this.target0="_top";' + 'this.item0_0 = "Vision, Mission, Values";' + 'this.url0_0 = "../../body.cfm?id=555841";' + 'this.target0_0 = "_top";' + 'this.item0_1 = "Career Opportunities";' + 'this.url0_1 = "../../body.cfm?id=555688";' + 'this.target0_1 = "_top";' + 'this.item0_2 = "Planned Giving at Georgetown University Hospital";' + 'this.url0_2 = "http://www.plan.gs/Home.do?orgId=5710";' + 'this.target0_2 = "_top";' + 'this.item0_3 = "Charitable Giving";' + 'this.url0_3 = "../../body.cfm?id=1324";' + 'this.target0_3 = "_top";' + 'this.item0_4 = "Be A Volunteer";' + 'this.url0_4 = "../../body.cfm?id=1067";' + 'this.target0_4 = "_top";' + 'this.item0_5 = "Press Room";' + 'this.url0_5 = "../../body_press.cfm?id=15";' + 'this.target0_5 = "_top";' + 'this.item0_6 = "Medical Center";' + 'this.url0_6 = "http://gumc.georgetown.edu/";' + 'this.target0_6 = "_blank";' + 'this.item0_7 = "Quality of Care";' + 'this.url0_7 = "http://www.medstarhealth.org/npt.cfm?id=555996";' + 'this.target0_7 = "_blank";' + 'this.item0_8 = "MedStar Health Facilities";' + 'this.url0_8 = "http://www.medstarhealth.org";' + 'this.target0_8 = "_blank";' + 'this.item1 = "Healthcare Services"; this.url1 = "../../body.cfm?id=555596"; this.target1="_top";' + 'this.item_background_image1 = "highlightbg.gif";' + 'this.item1_0 = "All Services";' + 'this.url1_0 = "../../body.cfm?id=555596";' + 'this.target1_0 = "_top";' + 'this.item1_1 = "Medical Services";' + 'this.url1_1 = "../../body.cfm?id=555597";' + 'this.target1_1 = "_top";' + 'this.item1_2 = "Surgical Services";' + 'this.url1_2 = "../../body.cfm?id=555598";' + 'this.target1_2 = "_top";' + 'this.item1_3 = "Emergency Care";' + 'this.url1_3 = "../../body.cfm?id=555599";' + 'this.target1_3 = "_top";' + 'this.item1_4 = "VIP Executive Health Program";' + 'this.url1_4 = "../../body.cfm?id=555724";' + 'this.target1_4 = "_top";' + 'this.item1_5 = "Division of Nursing";' + 'this.url1_5 = "../../body.cfm?id=556048";' + 'this.target1_5 = "_top";' + 'this.item2 = "Patients and Visitors"; this.url2 = "../../body.cfm?id=9"; this.target2="_top";' + 'this.item2_0 = "Find A Doctor";' + 'this.url2_0 = "../../body.cfm?id=8";' + 'this.target2_0 = "_top";' + 'this.item2_1 = "Maps & Directions";' + 'this.url2_1 = "../../body.cfm?id=30";' + 'this.target2_1 = "_top";' + 'this.item2_2 = "Contact Us";' + 'this.url2_2 = "../../body_fw.cfm?id=573";' + 'this.target2_2 = "_top";' + 'this.item2_3 = "Billing";' + 'this.url2_3 = "../../body.cfm?id=226";' + 'this.target2_3 = "_top";' + 'this.item2_4 = "About Your Visit/Stay";' + 'this.url2_4 = "../../body.cfm?id=555576";' + 'this.target2_4 = "_top";' + 'this.item2_5 = "For Your Appointment";' + 'this.url2_5 = "../../body.cfm?id=555580";' + 'this.target2_5 = "_top";' + 'this.item2_6 = "Visiting Hours";' + 'this.url2_6 = "../../body.cfm?id=555696";' + 'this.target2_6 = "_top";' + 'this.item2_7 = "Request Medical Records";' + 'this.url2_7 = "../../body.cfm?id=556302";' + 'this.target2_7 = "_top";' + 'this.item3 = "Health Professionals"; this.url3 = "../../body_fw.cfm?id=10"; this.target3="_top";' + 'this.item3_0 = "How To Use Georgetown\'s Physician Access Program";' + 'this.url3_0 = "../../body.cfm?id=214";' + 'this.target3_0 = "_top";' + 'this.item3_1 = "Physicians Reference Directory";' + 'this.url3_1 = "../../body.cfm?id=556456";' + 'this.target3_1 = "_top";' + 'this.item3_2 = "Medical Education";' + 'this.url3_2 = "../../body.cfm?id=11";' + 'this.target3_2 = "_top";' + 'this.item3_3 = "Residency Training Programs";' + 'this.url3_3 = "../../body.cfm?id=221";' + 'this.target3_3 = "_top";' + 'this.item3_4 = "Physician Recruitment";' + 'this.url3_4 = "../../body.cfm?id=556070";' + 'this.target3_4 = "_top";' + 'this.item3_5 = "Nursing Services";' + 'this.url3_5 = "http://www.TheNursesHospital.com";' + 'this.target3_5 = "_blank";' + 'this.item3_6 = "Physician Newsletters";' + 'this.url3_6 = "../../body.cfm?id=1620";' + 'this.target3_6 = "_top";' + 'this.item4 = "Health Information"; this.url4 = "../../body_fw.cfm?id=555745"; this.target4="_top";' + 'this.item4_0 = "Health Tools and Information";' + 'this.url4_0 = "../../body_fw.cfm?id=555562";' + 'this.target4_0 = "_top";' + 'this.item4_1 = "Clinical Trials";' + 'this.url4_1 = "http://clinicaltrials.georgetown.edu";' + 'this.target4_1 = "_blank";' + 'this.item4_2 = "Classes, Events and Support Groups";' + 'this.url4_2 = "../../body_fw.cfm?id=556402";' + 'this.target4_2 = "_top";' + 'this.item4_3 = "Request More Information";' + 'this.url4_3 = "../../body.cfm?id=7";' + 'this.target4_3 = "_top";' + 'this.item4_4 = "MyGeorgetownMD &#8209; Health Newsletter";' + 'this.url4_4 = "../../body.cfm?id=1296";' + 'this.target4_4 = "_top";' + '';

	return data

}

// -->
</SCRIPT>



<!-- -------------------------------NavStudio Menu Tags-----------------------------------------

   *** The tags directly below these comments are responsible for generating the menu system.
   *** Position the menu by adding the tags anywhere within the body of your document, the menu will
   *** position itself as an inline block level element, similar to using <TABLE> and <DIV> tags.-->


<!--** START NAVSTUDIO MENU TAGS (367050) **-->
<div id="vqp_about" style="position:absolute;visibility:hidden;">****JavaScript based drop down DHTML menu generated by NavStudio. (OpenCube Inc. - http://www.opencube.com)****</div>
<script language="JavaScript" vqptag="doc_level_settings" is_vqp_html=1 vqp_datafile0="TMenu.js" vqp_uid0=367050>cdd__codebase = "navtools/topmenu/";cdd__codebase367050 = "navtools/topmenu/";</script>
<script language="JavaScript" vqptag="datafile" src="navtools/topmenu/TMenu.js"></script><script vqptag="placement" vqp_menuid="367050" language="JavaScript">create_menu(367050)</script>
<!--** END NAVSTUDIO MENU TAGS **-->

<!-- ---------------------------------End Menu Tags------------------------------------------ -->



		</td>
	</tr>
</table>
<!-- End Top Nav -->
<!-- Main Body Template -->
<table width="760" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
	<tr>
		<td width="155" valign="top" background="images/R2005/sub/FAPBack.gif" class="rtb"><img src="images/R2005/sub/spacer.gif" width="1" height="5"></td>
		<td colspan="2" background="images/R2005/sub/TMDown.gif"></td>
	</tr>
	<tr>
		<td valign="top" bgcolor="#E7F1F5"  class="rtb">
<!-- Left Side Nav -->
<a href="body.cfm?id=8"><img src="images/R2005/sub/FAP.jpg" ALT="Find a Physician" width="155" height="85" border="0"></a><br>
    <br>
<TABLE WIDTH="155" BORDER="0" CELLPADDING="0" CELLSPACING="0" BGCOLOR="#e7f1f5">

<TR>
	<TD CLASS="db2"><UL CLASS="nav2">
		<LI CLASS="nav2"><A HREF="body.cfm?id=206" CLASS="ln" target="_top">Lombardi Comprehensive Cancer Center</A></LI>
	</UL></TD>
</TR>
		<TR><TD><table width="155" border="0" cellpadding="0" cellspacing="0" bgcolor="#c2dae7">
<TR>
	<TD CLASS="twolnhighlight"><UL CLASS="nav3">
		<LI CLASS="nav3"><A HREF="body.cfm?id=555617" CLASS="ln" target="_top">Buddy Check Kit Request Form</A></LI>
	</UL></TD>
</TR>
		
<TR>
	<TD CLASS="db"><UL CLASS="nav3">
		<LI CLASS="nav3"><A HREF="body.cfm?id=1204" CLASS="ln" target="_top">Betty Lou Ourisman Breast Health Center</A></LI>
	</UL></TD>
</TR>
		
<TR>
	<TD CLASS="db"><UL CLASS="nav3">
		<LI CLASS="nav3"><A HREF="http://lombardi.georgetown.edu" CLASS="ln" target="_blank">Lombardi Comprehensive Cancer Center Website</A></LI>
	</UL></TD>
</TR>
		</table></TD></TR>
<TR>
	<TD>&nbsp;</TD>
</TR>
</TABLE>
    <br>
    




<div align="center"><br /><br /><a href="/body.cfm?id=556363"><img src="images/NorthernVATopDocs.jpg" alt="Northern Virginia Magazine - Top Doctors 2009" width="83" border="0" /></a><br>
							<br>
<a href="/body_nursing.cfm?id=556094"><img src="images/ancclogo.png" alt="ANCC Magnet Status Award" width="100" border="0" /></a><br>
							<br>
		<a href="http://www.parkinson.org"><img src="images/npf_logo.png" alt="National Parkinson Foundation" width="90" height="96" border="0"></a><br>
							<br>
							<a href="http://www.acr.org" target="_blank"> <img src="images/acrBoxLog.png" border="0" alt="ACR Accredidation" vspace="4"></a> <br>
							<br>
                                                                                                                <a href="body.cfm?id=555683"> <img src="images/TopDoctors2005.jpg" alt="Washingtonian Magazine Top Doctors" border="0"></a><br>
							<br>
						</div>
		</td>
		<td valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
				<tr>
					<td width="15"><img src="images/R2005/sub/spacer.gif" width="15" height="8"></td>
					<td class="bodytext">
<script type="text/javascript" src="/scripts/askADoc.js"></script>
<script type="text/javascript">
function showMedia87A93826(){
	window.open("mediaPlayer/?display=webcast&mediaID=87A93826-5E2D-4666-A148-70C853FE52CF","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
function showMediaDA81E93E(){
	window.open("mediaPlayer/?display=webcast&mediaID=DA81E93E-6483-460D-B82C-89E8E9BBBDCE","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
function showMediaB718161C(){
	window.open("mediaPlayer/?display=webcast&mediaID=B718161C-6B7C-47FB-9EDD-49BB71FED7B3","newWindow","height=645,width=800,dependent,location=no,directories=no,toolbar=no,status=no,menubar=no,scrollbars=yes,resizable");
}
</script>

<table cellpadding=0 cellspacing=0 border=0>
							<tr>
								<td><img src="images/R2005/sub/spacer.gif" height="3"></td>
							</tr>
							<tr>
								<td class="bc">
	
	
		
		
		
		
		
			<A HREF=body.cfm?id=555596                                                                                                                                                                                                                                              CLASS=bc>Healthcare Services</A> 
		
	
		
		
		
		
		
			&gt;&nbsp;<A HREF=body.cfm?id=555597                                                                                                                                                                                                                                              CLASS=bc>Medical Services</A> 
		
	
		
		
		
		
		
			&gt;&nbsp;<A HREF=body.cfm?id=206                                                                                                                                                                                                                                                 CLASS=bc>Lombardi Comprehensive Cancer Center</A> 
		
	
		
		
		
		
		
			&gt;&nbsp;<A HREF=body.cfm?id=555617                                                                                                                                                                                                                                              CLASS=bc>Buddy Check Kit Request Form</A> 
		
	


</td>
							</tr>
							<tr>
								<td class="print" align="right" width="423"><div style="float:right;">
										
											
			<table class="">
				<tr class="">
					<td class="" style="white-space:nowrap;"><a href="blank.cfm?print=yes&amp;id=555617" target="_blank" rel="nofollow">Print This Page&nbsp;<img src="images/print.gif" border="0" style="vertical-align:middle;" alt="Print"></a>&nbsp;&nbsp;&nbsp;&nbsp;<a class="metadetail" href="blank.cfm?id=555617&amp;displayheader=No&amp;action=templateEmailFriend&amp;originalAction=None" target="_blank" rel="nofollow">Email to a Friend&nbsp;<img src="images/email.gif" border="0" style="vertical-align:middle;" alt="Email"></a></td>
				</tr>
			</table>
		  

											
									</div></td>
							</tr>
						</table>
						<br>
						<table align="right" width=140 cellspacing=0 cellpadding=5 class="its">
							<tr>
								<td>

								</td>
							</tr>
						</table>
						<br>
						<!-- This is the Main Content Area -->
						





<!-- Middle Section -->

	







 



<span class="wiz">
	<style>
	table.wiz {font-family: Verdana; font-size: 8pt;}
	td.wiz {font-family: Verdana; font-size: 8pt;}
	</style>
</span>

	<form action="http://www.georgetownuniversityhospital.org/body.cfm?xyzpdqabc=0&id=555617" method="POST">
	<input type="hidden" name="action" value="sendmail" />
	<table border="0" cellspacing="0" cellpadding="3" class="wiz">
	    <tr>
						<td colspan="2"><font size="2"><b>BuddyCheck 9 Breast Health Kit and Tools</b></font><br /><br /></td>
				</tr>
  		<tr>
			<td colspan="2">Request your free BuddyCheck 9 kit which includes important information on breast cancer health and tools to help you remember your monthly breast self-exam.  <br /><br />Provide your mailing information below and the kit will be mailed out within a few days of receiving this request. <br /><br />
				<strong>Please Note</strong>: <br/>
				The BuddyCheck 9 Breast Health Kit will only be mailed out to residents of the following states: DC, MD, VA, WV, DE, PA. <br/><br/>
				Residents from other states: <a href="body.cfm?id=556211">Please click here to download an electronic Health Kit.</a>
</td>
		</tr>
		<tr>
			<td colspan="2"><font face="Arial" size="1" color="#FF0000">* required info</font></td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Name <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="Name_required" value="<b>Name</b> can't be left blank." />
			<input type="Text" name="Name" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Street Address 1 <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="StreetAddress1_required" value="<b>Street Address 1</b> can't be left blank." />
			<input type="Text" name="StreetAddress1" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Street Address 2</td>
			<td>
			<input type="Text" name="StreetAddress2" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">City <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="City_required" value="<b>City</b> can't be left blank." />
			<input type="Text" name="City" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">State <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="State_required" value="<b>State</b> can't be left blank." />
			<select name="State">
				<option value="Delaware">Delaware</option>
				<option value="Maryland">Maryland</option>
				<option value="Pennsylvania">Pennsylvania</option>
				<option value="Virginia">Virginia</option>
				<option value="Washington D.C." selected>Washington D.C.</option>
				<option value="West Virginia">West Virginia</option>
			</select>
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Zip <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="Zip_required" value="<b>Zip</b> can't be left blank." />
			<input type="Text" name="Zip" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Date of Birth </td>
			<td>
			<input type="Text" name="DateofBirth" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Email Address <font color="#FF0000">*</font></td>
			<td>
			<input type="Hidden" name="EmailAddress_required" value="<b>Email Address</b> can't be left blank." />
			<input type="Text" name="EmailAddress" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td bgcolor="#E1E1E1" valign="top">Phone</td>
			<td>
			<input type="Text" name="Phone" size="35" value="" />
			</td>
		</tr>
		<tr>
			<td colspan="2"><br /><br /><br /><br /></td>
		</tr>
		  <tr>
			<td colspan="2">
			<input type="Button" name="cance1" value="Cancel" onClick="history.back()" style="width:80" />
			<input type="submit" name="save1" value="Send" style="width:80" /></td>
		</tr>
	</table>	
	</form>
	

 






						<!-- End Main Content Area -->
					</td>
					<td width="5"><img src="images/R2005/sub/spacer.gif" width="5" height="8"></td>
				</tr>
			</table>
			<br>
			<br>
		</td>
		<td width="161" valign="top" bgcolor="#E7F1F5" class="whiteb"><br>
			































































<style type="text/css">
<!--
.style2 {font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; font-weight: bold; color: #000000; }
-->
</style>
<table width="161" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td bgcolor="#E7F0F5" class="COEBack"><br>
		<table border="0" cellspacing="1" cellpadding="0">
			<tr>
				<td>
				<ul class="coe">
		<li class="coe"><a href="body.cfm?id=206" class="coe">Lombardi Comprehensive Cancer Center</a></li>
		<li class="coe"><a href="body.cfm?id=118" class="coe">Neurosciences</a></li>
		<li class="coe"><a href="body.cfm?id=115" class="coe">Institute of Transplantation, Hepatobiliary Diseases and Surgery</a></li>
		<li class="coe"><a href="body.cfm?id=117" class="coe">Gastroenterology</a></li>
		<li class="coe"><a href="body.cfm?id=491" class="coe">Peripheral Vascular Surgery</a></li>
		</ul>
		</td>
			</tr>
		</table>
		  </td>
        </tr>
        <tr>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td valign="top"><table width="161" border="0" cellspacing="0" cellpadding="0">
            <tr>
              <td><img src="images/R2005/sub/CM_Top.gif" width="161" height="46"></td>
            </tr>
            <tr>
              <td valign="top" class="cmback"><table width="161"  border="0" cellspacing="0" cellpadding="0" class="yhback">
                <tr>
                  <td width="10"><img src="images/R2005/sub/spacer.gif" width="10" height="4"></td>
                  <td>
				    <span class="style2">Your Health</span><br>
                  <ul class="yh"><li class="yh"><a href="body_fw.cfm?id=555745" class="yh"><strong>Health Guides</strong></a></li>
                  </ul>
                  <ul class="yh"><li class="yh"><a href="body_fw.cfm?id=555745" class="yh"><strong>Wellness Guides</strong></a></li>
                  </ul>
                  <ul class="yh">
                  	<li class="yh"><a href="body_fw.cfm?id=555745" class="yh"><strong>Health Encyclopedia</strong></a><br>
                  </li></ul>
							 <br>
					




	 



	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

		
		
		 

		
	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		 

		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
			
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		 

		
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	 

		
		
		
		
			


 



	
	
		
		
		
				
		
				
		
				
		
				
		
				
		
				
		
				
		
				
		
				
		
		
		
		 

		
			
		
		
		
		
		
		
		
		
			
			
		
		
	
		
		
		
			
			
		
			<div class="teaser" id="teaser_display">
			<div class="teaser_header" id="teaser_header"></div>
			<table class="channel_display" id="channel_display">
			
			
			
				
					<tr>
				
				
		
		
	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		




	
	
	
	
	
	
	
	
		
		
		
	


	

	
	
	
		
		
		
			
		
		
		
	
		
		
		
	
		
		
		

		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
			
			
			
				
			
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
	
 



 

		
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	 

		
				
		
		
		 
		
			
				
				<td class="channel" id="channel_1"> 
				<div class="channel_name" >Cancer Information</div>
								
				
					
		
		
						
					
						
							
							
								
								
								
							
							
								
								<div class="content_type">External Articles</div>
								
		
		
		
		
		
	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		




	
	
	
	
	
	
	
	
		
		
		
	


	

	
	
	
		
		
		
			
		
		
		
	
		
		
		
	
		
		
		

		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
			
			
			
				
			
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
	
 



 

		
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	 

			
			<ul class="channel_items">
			
				
				<li>
					<a href="http://washingtontimes.com/metro/20050815-105438-8014r.htm" target="_blank">The Washington Times - Fewer red blood cells</a>
					
					</li>
			
			</ul>
		
	
							
						
							
							
								
								
								
							
							
								
								<div class="content_type">In Depth Patient Reports</div>
								
		
		
		
		
		
	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		




	
	
	
	
	
	
	
	
		
		
		
	


	

	
	
	
		
		
		
			
		
		
		
	
		
		
		
	
		
		
		

		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
			
			
			
				
			
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
	
 



 

		
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	 

			
			<ul class="channel_items">
			
				
				<li>
					<a href="body.cfm?id=555563&amp;action=articleDetail&amp;AEProductID=Adam2004_5010&amp;AEArticleID=000055&amp;crawl=false">Colon and rectal cancers</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=555563&amp;action=articleDetail&amp;AEProductID=Adam2004_5010&amp;AEArticleID=000006&amp;crawl=false">Breast cancer</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=555563&amp;action=articleDetail&amp;AEProductID=Adam2004_5010&amp;AEArticleID=000046&amp;crawl=false">Cervical cancer</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=555563&amp;action=articleDetail&amp;AEProductID=Adam2004_5010&amp;AEArticleID=000092&amp;crawl=false">Ovarian cancer</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=555563&amp;action=articleDetail&amp;AEProductID=Adam2004_5010&amp;AEArticleID=000033&amp;crawl=false">Prostate cancer</a>
					
					</li>
			
			</ul>
		
	
							
						
							
								
							
							
								
								<div class="content_type">Web Pages</div>
								
		
		
		
		
		
	
		
	 

	

 

		 

		 

		

 

		

 

		
	
	
	
	
	
	
	
					
	
	
	

	
		
		
		




	
	
	
	
	
	
	
	
		
		
		
	


	

	
	
	
		
		
		
			
		
		
		
	
		
		
		
	
		
		
		

		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
			
			
			
				
			
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
	
 



 

		
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
		
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	 

			
			<ul class="channel_items">
			
				
				<li>
					<a href="body.cfm?id=556346">Publications</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=555737">GUH Volunteer Summer Program</a>
					
					</li>
			
				
				<li>
					<a href="body.cfm?id=556234">Health Information Management</a>
					
					</li>
			
			</ul>
		
	
							
						
					
				
				
				
				
				</td>
				
				
			
		 
		
		
				
				
					
				
				
					</tr>
				
				
			
			</table>
			
			
				
					
					
					<a href="body.cfm?id=555563&amp;pageID=555617&amp;action=more&amp;url=id%3D555617">
					
						More
					
					</a>
				
			
			
			</div>
			
		
	
 

			    </tr>
                <tr>
                  <td>&nbsp;</td>
                  <td valign="top">&nbsp;</td>
                </tr>
              </table></td>
            </tr>
          </table>            
           <br>
      <br>

      <table align="center" width="153" height="195" border="0" cellspacing="0" cellpadding="0" style="background-image:url(images/mygeorgetownmd/newsletterBkgd.jpg); background-repeat : no-repeat;">
        <tr>
          <td valign="top">
		<table width="153" border="0" cellspacing="0" cellpadding="0">
              		<tr>
              			<td width="66" height="45"><img src="images/spacer.gif" width="1" height="45"></td>
             	   		<td width="87">&nbsp;</td>
              		</tr>
              		<tr>
                		<td><img src="images/spacer.gif" width="66" height="1"></td>
                		<td height="75" valign="top" style="color:#000066; font-size:10px; font-family:Verdana, Arial, Helvetica, sans-serif;">Get quarterly Georgetown health news &amp; information in your inbox </td>
              		</tr>
              		<tr>
                		<td colspan="2" align="center" style="color:#000066; font-size:11px; font-family:Verdana, Arial, Helvetica, sans-serif;">
				<form action="body.cfm" method="get">
<div>
<input type="hidden" name="id" value="555912">
<label for="l151656-151656">Email:</label><br /><input type="text" name="e" id="e"  size="15"/><br />
<input type="submit" value="Subscribe" />
</div>
<div align="center"><a href="body.cfm?id=1296">View Archive</a></div>
</form>                		</td>
              		</tr>
            	</table></td>
        </tr>
      </table>
</td>
        </tr>
      </table>


		</td>
	</tr>
	<tr>
		<td background="images/R2005/sub/MenusBack.gif" class="rtb"><img src="images/R2005/sub/spacer.gif" width="1" height="4"></td>
		<td background="images/R2005/sub/BodyBttm.gif"><img width="2" height="4"></td>
		<td background="images/R2005/sub/MenusBack.gif"></td>
	</tr>
</table>
<!-- End body -->
<!-- this is the footer -->

<table width="760" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td width="50%" class="topb">&nbsp; <a href="http://www.medstarhealth.org/disclaimer" target="_blank" class="lns">Disclaimer</a> | <a href="http://www.medstarhealth.org/body.cfm?id=385" target="_blank" class="lns">Notice of Privacy</a> | <a href="http://www.medstarhealth.org" target="_blank" class="lns">MedStar Health Facilities</a></td>
    <td width="50%" align="right" class="topb"><span class="quicknav">&copy; Georgetown University Hospital</span></td>
  </tr>
</table>
<br>


<!-- End Footer -->
<!-- #######################  Keep this at the bottom of the page - to keep vairables in scope  ######### -->
<script language=javascript>




















<!--WEBSIDESTORY CODE HBX1.0 (Universal)-->
<!--COPYRIGHT 1997-2004 WEBSIDESTORY,INC. ALL RIGHTS RESERVED. U.S.PATENT No. 6,393,479B1. MORE INFO:http://websidestory.com/privacy-->
var _hbEC=0,_hbE=new Array;function _hbEvent(a,b){b=_hbE[_hbEC++]=new Object();b._N=a;b._C=0;return b;}
var hbx=_hbEvent("pv");hbx.vpc="HBX0100u";hbx.gn="ehg-medstarhealth.hitbox.com";
//BEGIN EDITABLE SECTION
//CONFIGURATION VARIABLES
hbx.acct="DM540420A2AE";//ACCOUNT NUMBER(S)
hbx.pn="Buddy Check Kit Request Form";//PAGE NAME(S)
hbx.mlc="";//"CONTENT+CATEGORY";//MULTI-LEVEL CONTENT CATEGORY
hbx.pndef="title";//DEFAULT PAGE NAME
hbx.ctdef="full";//DEFAULT CONTENT CATEGORY
//OPTIONAL PAGE VARIABLES
//ACTION SETTINGS
hbx.fv="";//FORM VALIDATION MINIMUM ELEMENTS OR SUBMIT FUNCTION NAME
hbx.lt="none";//LINK TRACKING
hbx.dlf="n";//DOWNLOAD FILTER
hbx.dft="n";//DOWNLOAD FILE NAMING
hbx.elf="n";//EXIT LINK FILTER
//SEGMENTS AND FUNNELS
hbx.seg="";//VISITOR SEGMENTATION
hbx.fnl="";//FUNNELS
//CAMPAIGNS
hbx.cmp="";//CAMPAIGN ID
hbx.cmpn="";//CAMPAIGN ID IN QUERY
hbx.dcmp="";//DYNAMIC CAMPAIGN ID
hbx.dcmpn="";//DYNAMIC CAMPAIGN ID IN QUERY
hbx.dcmpe="";//DYNAMIC CAMPAIGN EXPIRATION
hbx.dcmpre="";//DYNAMIC CAMPAIGN RESPONSE EXPIRATION
hbx.hra="";//RESPONSE ATTRIBUTE
hbx.hqsr="";//RESPONSE ATTRIBUTE IN REFERRAL QUERY
hbx.hqsp="";//RESPONSE ATTRIBUTE IN QUERY
hbx.hlt="";//LEAD TRACKING
hbx.hla="";//LEAD ATTRIBUTE
hbx.gp="";//CAMPAIGN GOAL
hbx.gpn="";//CAMPAIGN GOAL IN QUERY
hbx.hcn="";//CONVERSION ATTRIBUTE
hbx.hcv="";//CONVERSION VALUE
hbx.cp="null";//LEGACY CAMPAIGN
hbx.cpd="";//CAMPAIGN DOMAIN
//CUSTOM VARIABLES
hbx.ci="";//CUSTOMER ID
hbx.hc1="";//CUSTOM 1
hbx.hc2="";//CUSTOM 2
hbx.hc3="";//CUSTOM 3
hbx.hc4="";//CUSTOM 4
hbx.hrf="";//CUSTOM REFERRER
hbx.pec="";//ERROR CODES
//INSERT CUSTOM EVENTS
//END EDITABLE SECTION
//REQUIRED SECTION. CHANGE "YOURSERVER" TO VALID LOCATION ON YOUR WEB SERVER (HTTPS IF FROM SECURE SERVER)
</script><script language="javascript1.1" defer src="http://www.georgetownuniversityhospital.org/JS/hbx.js"></script>
<!--END WEBSIDESTORY CODE-->


</script>
<!-- #######################  End  ######### -->
<script type="text/javascript" src="http://cetrk.com/pages/scripts/0009/8567.js"> </script>
<script type="text/javascript">
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
</script>
<script type="text/javascript">
var pageTracker = _gat._getTracker("UA-6233027-1");
pageTracker._trackPageview();
</script>
</body>
</html>