Thermal Imaging Centers of Louisiana - Breast & Whole Body Thermal Imaging
Client Forms
 
Client Information Form  (Please download, fill out and bring this with you to your scheduled appointment.)  
 
Notice of Privacy Practices  
 
Please bring your completed form with you and plan to arrive about 10 minutes early to fill out any other specific forms that we feel necessary for your imaging.
 
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Client Preparation Instructions:
 
Please read the client preparation instructions carefully and strictly adhere to them. By not following the preparation closely may cause an inaccurate image and we will have to reschedule your appointment.
 
If you have a fever or an illness, including shingles, you need to call and reschedule. People with temperatures will not give an accurate reading.
 
After reading the following, please print out and complete the needed forms prior to your visit.
 
Pre-Appointment Instructions 
 
The following instructions must be strictly adhered to before you arrive for your appointment:
 
  • No use of lotions, creams, powders on day of imaging.
 
  • No food or caffeine 2 hours prior to appointment (coffee, soda or any caffeine-containing beverage, chocolate, tea)
 
  • No shaving or other hair removal methods in areas for imaging, 24 hours prior to exam. Men - shaving of face.
    Women - shaving underarms and/or legs.
 
  • No use of deodorants or antiperspirants the day of your appt.
 
  • No physical stimulation or treatment of the breasts, chest, neck, or back for 24 hours before your appt.
 
  • Do not participate in massage/chiropractic, acupuncture, TENS, physical therapy or electrical muscle stimulation for 48 hours prior to your appt.
 
  • No exercise 4 hours prior to your appt, (ie: biking) and NO HEAVY upper body lifting 3 days prior. You can go to the gym but do lower body or a treadmill exercise. Pulling muscles in the anterior chest will alter the image results.
 
  • If bathing, it must be no closer than 1 hour before your appt. No hot tubs for 24 hours before appt.
 
  • If you are nursing, please try to nurse as far from 1 1/2 to 2 hours before your appt as possible.
 
  • If you are using pain medications, please avoid taking them for 4 hours prior to your appt. You must consult with the prescribing physician for his or her consent prior to any change in medication use such as this.
 
 
When you arrive, you will be directed to the imaging room to undress. You will be given a gown to put on to allow for the surface temperature of the body to equilibrate with the room. During the imaging you will be disrobed from the waist up for imaging. A female technician will perform the imaging.
 
Breast Augmentation does not interfere with thermal imaging.
 
Thermography is perfectly safe to have during pregnancy or when nursing. The procedure may also be preformed during any part of the menstrual cycle without effecting the interpretation of the images.
 
If you should have any questions, please feel free to call either office or you may email us.  If it is late in the day or after hours, please allow us 24 hours to respond.
 
 

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Baton Rouge Office:  225-229-6107
Lafayette Office:       337-298-0113
 
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