X to Rays Thermal Imaging Forms.  Please print all forms applicable to your Thermography.

Please print and fill out all forms before your appointment.

Thank you.

Everyone:  EMI Patient Authorization

Everyone:  Patient Education General

Everyone:  Patient Information Sheet Practitioner

Breast Region

Patient Education Breast--updated

Full Body

Upper Body

Lower Body

info@snhc.com • 860.536.3880
107 Wilcox Road • Suite 103 • Stonington, CT 06378