*Fill-out these forms after you have a confirmed appointment and if it's your first time with BnBLV.

THERMOGRAPHY

Note: Please Print all 4 FORMS.

BnBThermography Patient Preparation Instructions

Welcome to our Center. Before you arrive for your thermogram, certain protocols must be followed in order to ensure that your images reflect accurate information. Pls. read/print the following instructions and strictly adhere to them. Thanks

1. Open PDF File & Print

BnBThermography Breast Intake Form

Pls. open/print the file and accomplish form...

2. Open PDF File & Print

BnBThermography Full Body Intake Form

Pls. open/print file and accomplish form...

3. Open PDF File & Print

BnBThermography IRT Consent Form

Please open/print file and accomplish form...

4. Open PDF File & Print

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