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Please complete this form after scheduling your appointment. You must complete the form as accurately as possible and as soon as possible, as important preparation guidelines are mandatory leading up to the appointment.

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Upon completing the patient intake form, you will be emailed a set of patient protocols. They can also be found at the top of the intake form or you can view them by clicking below. 

These protocols are important as they outline what not to do in the days leading up to your thermography appointment in attempt to avoid things that may alter test results.