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Forms Breast Thermography
If you are receiving a breast thermogram, please download the forms in this section and complete them before coming in for your appointment if possible.  If you are new to our clinic. Please complete the forms found under Patient Registration below.  Pay particular attention to the information on what not to do prior to your thermogram.  Following these instructions is necessary for an accurate thermogram

Forms Full Body / Region of Interest Thermography
If you are receiving a Full Body thermogram or a Region of Interest thermogram such as Upper Body, Lower Body, Cervical, etc., please complete the forms found in this section.  If you are new to our clinic please complete the forms found under Patient Registration below.

Forms  Patient Registration
If you are new to our clinic please complete the forms found in this section.  Pay particular attention to the information on what not to do prior to your thermogram.  Following these instructions is necessary for an accurate thermogram.

 
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