Forms

Accurate breast screening with Thermology is an evaluation of the levels, patterns and behavior of the skin’s temperature.

 

To achieve a meaningful evaluation, READ THE PREPARATION SHEET FOR YOUR STUDY AS SOON AS YOU RECEIVE THE PAPERWORK AND NOTE IT IS IMPORTANT TO REVIEW AGAIN ​SEVERAL DAYS PRIOR TO YOUR APPOINTMENT, 24 HOURS BEFORE, AND AGAIN THE MORNING OF YOUR APPOINTMENT. You should avoid conditions that would cause artificial influences.

On-line case history:

Be sure to fill out your patient history forms 48 HOURS prior to your appointment when submitting on line. Remember you can return to this form using your secure link as often as you need. Once submitted you will no longer have access. We will and can make any changes at the time of your appointment as we will review it.

 

Hardcopy paperwork:

When using a paper history form be sure to complete and bring the form with you at the time of your appointment. As we have many locations please do not mail the form in.

 

Of course contact our office with any questions you still have.

 

PLEASE CALL 248-797-1191 WITH ANY QUESTIONS.

    ADELPHA BREAST THERMOGRAPHY

Call for a Location Near You

Located in Commerce Township, MI we offer services across Michigan and surrounding areas

 © 2013 Adelpha Thermography, LLC. All rights reserved.

Tel: 248-797-1191 or 248-884-3766