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Breast Thermographic Client Information Sheet All information is kept confidential. This form must be completed in full. Please write/print legibly. Today's Date Client Full Name Have you had a previous
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Breast formrmography client information includes personal and medical details of individuals who have undergone a breast mammogram.
Healthcare providers or facilities conducting breast mammograms are required to file breast formrmography client information.
The information can be filled out electronically on a designated platform provided by the relevant healthcare governing body.
The purpose is to keep track of breast mammogram results and provide accurate and timely reports to patients and healthcare providers.
Information such as patient demographics, mammogram results, date of procedure, and healthcare provider details must be reported.
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