Breast thermography questionnaire
Complete this confidential health and breast-history questionnaire before a breast scan and bring it to your appointment.
Download questionnaire
Patient information
Forms and preparation guides.
Download the relevant documents before your thermography appointment.
Thermography downloads
Prepare before your appointment
Please read the scan-preparation guide and complete the appropriate questionnaire. If printing or completing a form is difficult, we can go through it with you during your visit.
Region-of-interest questionnaire
Provide details about the location and nature of symptoms, relevant medical history and medicines.
Download questionnaireThermal imaging preparation
Read the steps covering skincare products, exercise, heat exposure, clothing and arrival before your scan.
Download preparation guide
Having a breast scan?
Please read the preparation guide as well as completing the breast questionnaire.
Please read the preparation guide as well as completing the breast questionnaire.