How to Ask for Screening

Navigating the healthcare system shouldn’t be a barrier to getting screened. You have the right to ask for lung cancer screening — and these tools can help you do it with confidence.

You Can Ask Directly

You don’t always need a referral. In many settings, you can ask your provider directly: “I’d like to discuss lung cancer screening. Do I qualify for a low-dose CT scan?”

Providers may not bring it up on their own. Asking is your right.

What to Say

Bring these points to your appointment:

• Your age and smoking history (years smoked, how much per day)
• Any symptoms — cough, shortness of breath, chest pain
• Family history of lung cancer
• Interest in a low-dose CT screening

Self-Referral

Some clinics, IHS facilities, and tribal health programs accept self-referrals for lung cancer screening — meaning you can schedule directly without going through a primary care provider first. Call ahead and ask if this is an option.

Care Navigators

Care navigators are trained to walk with you through the process — from finding the right provider to understanding your results and next steps. They can help you prepare for appointments, explain diagnoses, and advocate on your behalf. Many tribal health programs employ navigators who are community members themselves.

If You’re Told No

If your provider declines to refer you and you believe you qualify, you can:

• Ask them to document the refusal
• Request a second opinion
• Contact your tribal health program or urban Indian health organization for support