PAYMENT & QUESTIONNAIRES


Payment


We do not accept health insurance as typically Insurance does not cover the cost of Thermography. However, if you need financial assistance please visit the United Breast Cancer Foundation. In order to receive UBCF support, please apply for a breast screening and receive your approval before you receive your breast screening.

WE DO ACCEPT: Visa, Mastercard, Discover, health savings accounts, and Paypal.

Questionnaires


Please use the documents below to fill out and fax or email back to our office as soon as possible.

Fax: 713-589-8615

Breast Questionnaire

Women's Health Questionnaire

Women's Health with Abdomen Questionnaire

Men's Health with Abdomen Questionnaire

Women's Full-Body Questionnaire

Men's Full-Body Questionnaire

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