COVID-19 UPDATE: We are open for business and taking necessary precautions. READ MORE

10918 Vance Jackson, Ste 101
San Antonio, TX 78230

Office: 210-705-1232
Toll Free: 866-409-2506
Fax: 210-979-7779

Mon - Thu: 9:00a - 4:30p
Closed 12:00p - 1:00p for lunch
Fri: Closed

Forms

We understand the inconvenience of completing paperwork each time you visit. Much of the information likely doesn’t change, however, we are required to have current paperwork completed for each appointment to assure all information is up to date.

ATTENTION
Choose the packet below that applies to your appointment, 1) complete and save it on your computer, 2) print, and 3) bring to your appointment unless directed otherwise.

Use this packet when scheduled for a BREAST THERMOGRAPHY appointment.
(4 fillable PDF pages)

Breast Packet

Use this packet when scheduled for a FULL-BODY ONLY THERMOGRAPHY appointment.
(6 fillable PDF pages)

Full Body Only Packet

Use this packet when scheduled for a FULL-BODY with BREAST THERMOGRAPHY appointment.
(7 fillable PDF pages)

Full Body + Breast Packet

Use this packet when scheduled for an UPPER-BODY ONLY THERMOGRAPHY appointment.
(6 fillable PDF pages)

Upper Body Only Packet

Use this packet when scheduled for an UPPER-BODY with BREAST THERMOGRAPHY appointment.
(7 fillable PDF pages)

Upper Body + Breast Packet

Use this packet when scheduled for an LOWER-BODY THERMOGRAPHY appointment.
(6 fillable PDF pages)

Lower Body Packet

ATTENTION: Clicking on the Send Message button below WILL NOT submit your forms packet. This button is reserved for general messages to our office and is not a method of transmitting your paperwork. Please print your packet and bring all pages to your appointment unless otherwise directed.

10918 Vance Jackson, Ste 101
San Antonio, TX 78230

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Office: 210-705-1232
Toll-Free: 866-409-2506
Fax: 210-979-7779
Email: info@ditiimaging.com

    DITI Imaging is an affiliate of Meditherm and the American College of Clinical Thermography (ACCT) and is located in San Antonio, TX. All clinical thermographers are accredited by ACCT, a non-profit organization dedicated to the advancement of thermology and thermography through education, research, and professional development. All thermography scans are interpreted by the board-certified doctors of Electronic Medical Interpretation, Inc. (EMI)

    © 2006-2020 DITI Imaging. All rights reserved.

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