Please Print Your Forms and Fill out Before Your Next Imaging Appointment

We take a detailed health history before your imaging. The questionnaire is essential to making sure we provide the correct information to the physicians  who interpret your images.  

PLEASE CHOOSE THE QUESTIONNAIRE BELOW THAT BEST CORRESPONDS WITH YOUR IMAGING, PRINT IT, FILL IT OUT, AND BRING IT TO YOUR APPOINTMENT. If you do not know which questionnaire to choose, fill out the Women’s or Men’s Health Study.

Do You Need to Make an Appointment?

If you do not yet have an appointment please click the button below to find a location and schedule your Thermogram.