Pre-Scan Instructions & Intake Forms

Thermography Pre-Scan Instructions & Intake Forms

Step 1 - Pre-Scan Instructions

Click to open and review instructions to prepare for your thermal imaging appointment.

Pre-Scan Instructions

Step 2 - Intake Forms

Click on the intake form link in relation to your scheduled scan, complete the form and bring to your appointment.

Breast & Lymph – Female

Half Body Scan – Female

Full Body Scan – Female

Half Body Scan – Male

Full Body Scan – Male

Step 3 - Appointment Confirmation

Be sure to watch for your appointment confirmation by email and your 24-hour advance reminder email to confirm your upcoming appointment so that we know you’re coming and we can anticipate your arrival! We look forward to seeing you!

Disclosures

These are disclosures regarding your medical thermography examination.

Breast Thermography Study

Previously Diagnosed Breast Cancer Study

HIPAA Consent Form

This form gives your authorization to disclose your health information to Physicians Insight, LLC which is the organization that interprets your thermography images.

HIPAA Consent Form

Improve Your Life. Today!

Discover the medical thermography and how it can guide you on the path to health