Thermography Records Request
Please complete this form to have your records sent to any provider of your choosing. You must complete this form for EACH report you would like us to send. Once the request has been completed you will receive an email verification that we have completed your request.
Due to the file type for our imaging and interpretation, all reports must be emailed. They cannot be submitted to any facility radiology (PACs) systems, or transmitted via fax. A valid facility email address or phone number must be provided in order for your request to be completed.