Forms

For ALL Thermal Imaging clients (New OR Returning):

Please print and complete the appropriate form set in advance, and bring with you to your appointment.  If you don’t have access to a printer, often Libraries will be able to help.

For ALL BREAST IMAGING

Please carefully review the Breast Thermography Informed Consent (page 2), and write down any questions you may have.

IF YOU CANNOT COMPLETE FORMS IN ADVANCE

That’s ok, just please:
1.  Read the Consents in advance and look thru the forms to see what kinds of info we’ll need so you can collect that info, AND,
2.  Arrive 15 minutes early to complete paperwork in the office.

Thank you!

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