Sage Cancer Screening

Related Sites

Sage Screening Clinical Forms and Encounter Labels

Clinic Forms:

Sage Enrollment Form - English (PDF)

Sage Enrollment Form - Spanish (PDF)

Sage Imaging Summary (PDF)

Sage Pap Smear Summary (PDF)

Sage Screening Program: What is Covered - English (PDF)

Sage Screening Program: What is Covered - Spanish (PDF)

Encounter Labels:

Encounter Labels Order Form

Update

The Sage Program is still operating. Please call us toll-free at 1-888-643-2584 to schedule medical appointments or if you have questions.

Effective immediately, please submit all patient forms via fax to 1-877-495-7545. Read more: e:Update

Sage Response to COVID-19

Updated Sage Provider Manual eligibility criteria: Eligibility (PDF)

For a detailed explanation of eligibility, see the Sage decision Trees (brokendown by age): Sage Decision Tree (PDF)

Are you eligible?

If you would like to call and talk to someone who can tell you if you are eligible and even set up your appointment if you are, you can call toll-free 1-888-643-2584. If it is after business hours, leave a message and we'll call you back.

Survivor Spotlight

Lily courageously battled cervical cancer: Lily's Survivor Story.

Questions?

Contact Sage: health.sage@state.mn.us.