Pricing and Patient Forms

Pricing and Patient Forms

Review our current thermography pricing and click on the appropriate form to open and print it for your scheduled appointment. Please print forms single-sided and complete the forms by hand (do NOT use adobe forms or google docs) and bring them with you to your appointment. Please do NOT scan and email completed forms to our office.

Initial Breast $250
Initial Breast with Head and Neck $325
Return Breast $200
Return Breast with Head and Neck $275
Upper Body $300
Upper Body with Breast Series $350
Lower Body $300
Full Body $400
Full Body with Breast Series $450
Head and Neck $125

 

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) may be used when applicable.

Other Forms

Order Form (Doctors Only)

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