Appt. Prep Instructions

Thank you for choosing Thermography Advantage. We look forward to seeing you at your upcoming appointment! We ask that you please follow these instructions on the day of your appointment to ensure the greatest accuracy in your upcoming thermographic scan:

 

  • DO NOT use a tanning bed, or spend excess time in the sun for 24 hours prior to your appointment

  • DO NOT have physical therapy, exercise, massage, or electromyography

  • DO NOT apply liniments, lotions, or deodorant to the skin (make-up is acceptable)

  • NO chewing gum within two hours of your appointment

  • NO hot drinks within four hours of your appointment

  • NO smoking for two hours prior to your appointment

Please let us know if you are pregnant, recently miscarried, nursing, or you are presently under treatment or have been under treatment for cancer within the last three months as this may alter your reading. Also, please let us know if you will have any disability that may prevent you from standing during the procedure.

 

What to expect...

  • There is no need to alter your regular diet or medications

  • You will need to remove all jewelry for your scan

  • You will need to disrobe and dress in a gown that will be provided for you

  • Your hair will have to be off your neck and face (hair bands and clips will be provided or you can bring your own)

 

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Cancellation Policy

We understand that life events sometimes require rescheduling appointments. Consequently, we allow cancellation at least 48 hours in advance of your scheduled time. Any monies already paid will be refunded, and no cancellation fees will be charged. However, if you cancel within 48 hours of your scheduled time, or simply do not show up for your appointment, you will be charged a $30 cancellation fee.

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Patient Medical Forms

 

Thermography Medical Forms

It is standard practice that with each appointment our patients fill out health related questionnaires as well as HIPAA forms.  So as to expedite your appointments, we've made these forms available online to print, fill out, and bring with you to your appointment.  Since these forms can take 10-15 minutes to fill out, doing so before you come saves you and us that much time off of your appointment.

 

For New Patients:

Please fill out each page in it's entirety! Be sure to include as much of your medical history as you can recall in respect to the questions that are asked.

For Returning Patients ONLY!

Please Fill Out the HIPAA Form each time you come; it is the form that asks how you would like to receive your report and on the remaining pages if there are NO CHANGES. Write No change on each page initialing and signing and dating. If You have changes please list them accordingly.

 

Be sure to review and follow your appointment preparation instructions, which you can find here on our website or by clicking: Appt. Prep Instructions


Please print and fill out the appropriate forms packet, fill out entirely, and bring with you to your appointment.

Female Patient Forms

Click HERE to download

Male Patient Forms

Click HERE to download

 

 Lymphatic Medical Forms

 


Lymphatic Medical Forms are not gender specific so both male and female can use these forms. Please Download, Print and Fill out entirely each page.

You can either Scan and email them back to This email address is being protected from spambots. You need JavaScript enabled to view it. or you can take pictures and Text them back to (251) 623-2225.

This is a very important step it prepares us for your appointment! Also Please bring your printed copy with you to your appointment.                     

 

 Lymphatic Medical Forms                            Click HERE to download

 

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Physician Form

Thermography Advantage
P.O. Box 850511
Mobile, AL 36685-0511
 
Dear Physician,
 
You will find enclosed a detailed report of your patients recent thermographic imaging. They have requested you receive a copy per their HIPPA form. It has been reviewed by a physician, and the findings and recommendations are included in the report. If you would like to speak with one of the interpreting EMI doctors, please contact me.
Thank you for allowing Thermography Advantage to help your patient with their medical needs, and please do not hesitate to call if you have any questions.
Sincerely, 
Carolyn Olson
Certified Clinical Thermographer
(251) 623-2225
This email address is being protected from spambots. You need JavaScript enabled to view it.
www.thermographyadvantage.com 

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