Patient Disclosure
I understand that the report generated from my images is intended for use by trained healthcare providers to assist in evaluations, diagnosis, and treatment. I further understand that the report is not intended to be used by individuals for self-evaluation or self-diagnosis. I understand that the report will not tell me whether I have any illness, disease, or other conditions but will be an analysis of the images with respect only to the thermographic findings discussed in the report.
By signing below, I certify that I have read and understand the statements above and the content of the examination.
I authorize Soaak Clinics and their specially trained associate technicians of this facility to perform Thermography.