Patient Forms

File Description Action
Forms to be completed for appointment
Pre-examination Protocols In order to ensure the most accurate image scans, please follow these instructions before coming for your Thermographic examination. View Download
Consent Form Please sign this consent form and give it to our Thermographic Technician View Download
Breast History Please complete this intake form providing details of your medical history and any concerns that you may have concerning your breast health View Download
Advisory documents on breast health
Reducing Risk 30 tips from breast health expert, Dr Christine Horner MD, on how to lower cancer risk View Download
Self Examination A guide on how to most effectively do a self exam of your breasts View Download

 

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Contact Details
 
Contact Number: +63 917 656 9789 (Globe)
                                +63 928 155 1270 (Smart)

InfraMed is a certified member of the International Academy of Clinical Thermography based in the USA