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Schedule Your Thermogram

Please fill out the form below to schedule your thermogram. After receiving a confirmation email, we will reach out to you to schedule your thermography appointment.

If you’re in a position of needing financial assistance, please click here and fill out our grant application to receive up to 100% cost coverage.

What to Expect After You Apply

  • You’ll receive a confirmation email after submitting the form

  • One of our providers will reach out to you to book your thermogram

  • We will guide you through the process each step of the way

Schedule Your Thermogram Form

Before You Begin

If you’re in a position of needing financial assistance, please click here and fill out our grant application to receive up to 100% cost coverage.

Contact Information

Address

Background

Race *
Ethnicity *
Primary Language *

Additional Information

Haven't read them? No problem! Please click here to read the "first thermography" requirements prior to submitting this form. It will open in a new tab so you can come back to this one and submit your form.

Thermogram FAQ’s

Once you submit the form above, one of our providers will contact you to schedule your thermogram appointment.

You must live within 1.5 hours of Spokane, Wa to qualify.

No worries – we have grants available to cover up to 100% of the cost of your thermogram. Fill out the grant application form here and indicate how much you can pay toward the cost.

1801 W. Broadway, Suite 1, Spokane, WA 99201 – by appointment only

You may qualify to apply for an ultrasound grant. We have an additional grant available to recipients who receive a high risk thermogram. To apply, fill out this form and you will be contacted if you are eligible. Questions? Email info@beyondpink.net

Learn about everything you need to know to prepare for the day of your thermogram

IMPORTANT COVID VACCINE INFORMATION

IF YOU HAVE GOTTEN THE COVID-19 VACCINE, PLEASE DO NOT APPLY FOR A GRANT UNTIL YOU ARE 6 WEEKS PAST YOUR SECOND DOSE