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    Thermography Printable Forms

    Below are printable forms for your thermography scan.  Just click on the form needed and print!

    Full Body Thermogram

    Full Body - NEW Female
    Full Body - RETURNING Female
    Full Body - NEW Male
    Full Body - RETURNING Male

    Upper Body Thermogram

    Upper Body - NEW Female
    Upper Body - RETURNING Female
    Upper Body - NEW Male
    Upper Body - RETURNING Male

    Breast Thermogram

    Initial Breast - NEW Client
    3 Month Breast Baseline
    Annual Breast - Returning Client

    281-803-5880

    admin@thermographyofhouston.com

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    13644 Breton Ridge Street, Suite E  -  Houston, TX  77070

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    The editors, and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, or adverse consequence alleged to have happened directly or indirectly as a consequence of this material. Breast thermography offers women information that no other procedure can provide. Breast thermography is not a replacement for mammography or any other form of breast imaging. Breast thermography is meant to be used in addition to mammography and other tests. Breast thermography and mammography are complementary procedures, one does not replace the other. All thermography reports are meant to identify thermal emissions that suggest potential risk markers only and do not in any way suggest diagnosis and/or treatment. According to studies, earliest detection is realized when multiple tests are used together. This approach includes breast self-examinations, physical breast exams by a doctor, mammography, ultrasound, MRI, thermography, and other tests that may be ordered by your physician.

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