Ultrasound Printable Forms

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

SCREENING ULTRASOUND (SELF REFERRED)

(Breast, carotid artery, thyroid, abdominal, renal/kidneys, pelvic, testicular, and superficial mass ultrasounds)

SCREENING ULTRASOUND (SELF REFERRED)

DOCTOR ORDERED ULTRASOUND

(Breast, carotid artery, thyroid, abdominal, renal/kidneys, pelvic, testicular, and superficial mass ultrasounds)

DOCTOR ORDERED ULTRASOUND

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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