Consent to Infrared Imaging / Thermography
Please read the following carefully
I understand that thermography is a procedure utilizing infrared imaging cameras to visualize and obtain an image of the infrared heat coming off the surface of the skin. Since infrared imaging only detects heat at the surface of the body, the technology cannot see into the cranial vault, thoracic cavity, or deep into the body to visualize organs or bones. The thermographic procedure is performed in order to analyze temperature patterns on the body that may or may not indicate the presence of an abnormal process. Consequently, a normal thermogram does not rule out the presence of significant pathology. All thermography reports are meant to identify heat patterns that suggest potential risk markers only and do not in any way suggest diagnosis and/or treatment. Your thermogram report is meant to be used by your treating doctor as an adjunctive aid in the assessment of your health. The report is not to be used for self-diagnosis and/or treatment.
I understand that infrared imaging of the breast is not intended as a replacement for or alternative to mammography, ultrasound, MRI or any other form of imaging. Thermography is not a stand-alone screening tool, meaning that it is not to be used by itself for screening.
I understand that infrared imaging of the breasts and mammography do not provide the same information on breast tissues; and therefore, provide different values on breast tissue assessment (thermography looking for physiological changes and mammography looking for anatomical changes).
I understand that the doctor and/or technician providing the infrared imaging, and the doctor interpreting the images, are not diagnosing and/or treating breast abnormalities. Follow up care relating to treatment must be done by properly trained and licensed health care specialists.
I understand that if, by any chance, a questionable thermal finding is discovered on my thermogram, I will consider all follow-up or referral recommendations made on my report; such as following up with an ultrasound / mammogram / MRI / etc. or with my primary care doctor to ensure I receive proper care.
I understand that I will be disrobed from the waist up for breast exams and buttocks exposed for lower body exams. I will then be imaged with an infrared camera. I understand that this procedure does not use radiation, is not harmful to me, the equipment does not touch my body, and that its sole function is to produce an image of the heat coming off my body.
I understand that thermography reports do not in any way suggest diagnosis and/or treatment. No surgical procedure should be based on thermal imaging alone. Additional procedures, which depend on the nature of the condition and/or body region, are needed to achieve a final diagnosis.
I understand that thermography must not be confused with CT, MRI, or other types of body imaging. These are structural imaging technologies that look for the physical presence of tumours and other structural changes inside the body. Thermography does not provide this type of imaging; and as such, cannot be used to screen for the spread of cancer (metastasis).
I understand that the results of my thermograms may be made available to my doctors and others as I so designate for further analysis in the overall evaluation of my health.
I have also been given pre-imaging instructions to follow and I acknowledge that I have fully complied with the preparation protocol prior to imaging.
Having understood the above, and having received satisfactory answers to any and all questions that I may have had concerning the purpose and outcome, risk factors and benefits of thermography, I hereby consent to both initial and all subsequent infrared imaging.
Prices correct from June 2019 and are subject to change.
Payment is due at least 14 days prior to your appointment. Medical Thermal Imaging Ltd reserve the right to cancel your appointment due to non-payment. We accept debit credit card payments (excluding American Express).
In the event of a cancellation of your appointment, there is a non-refundable £75 administration fee, however, it is transferable to another appointment made within 12 months of your original booking. Cancellations made less than 72 hours prior to your appointment will result in the full amount being charged.
This Policy applies to the User of this Website and Medical Thermal Imaging Ltd., the owner and provider of this Website.
This Policy applies to our use of any and all Data collected by us in relation to your use of the Website and any Services or Systems therein.
1. Definitions and Interpretation
In this Policy the following terms shall have the following meanings:
“Account” means collectively the personal information and credentials used by Users to access Material and/or any communications System on the Website;
“Content” means any text, graphics, images, audio, video, software, data compilations and any other form of information capable of being stored in a computer that appears on or forms part of this Website;
“Cookie” means a small text file placed on your computer by medscans.com when you visit certain parts of this Website. This allows us to identify recurring visitors and to analyse their browsing habits within the Website, as well as add to the functionality of this Website.
“Data” means collectively all information that you submit to the Website. This includes, but is not limited to, information submitted using any of our Services or Systems;
“Service” means collectively any online facilities, tools, services or information that Medical Thermal Imaging Ltd. makes available through the Website either now or in the future;
“System” means any online communications infrastructure that Medical Thermal Imaging Ltd. makes available through the Website either now or in the future. This includes, but is not limited to, web-based email, message boards, live chat facilities and email links;
“User” / “Users” means any third party that accesses the Website and is not employed by Medical Thermal Imaging Ltd. and acting in the course of their employment; and
“Website” means the website that you are currently using and any sub-domains of this site (e.g. subdomain) unless expressly excluded by their own terms and conditions.
2. Who we are
Medical Thermal Imaging Ltd. is a provider of thermal imaging and the interpretation of thermal patterns.
Medical Thermal Imaging Ltd
71 Lord Sefton Way
Ph : 0333 8003003
3. Our legal basis for processing User’s Personal Data
Whenever we process User’s personal Data we need a “legal basis” for doing so. The different legal bases we rely on are either:
3.1 Consent: The User has told us they are happy for us to process their personal Data to deliver our services to them;
or 3.2 Legitimate interests: The processing of the User’s Personal Data is necessary for us to conduct our business, but not where the User’s rights are overridden by the rights of Medical Thermal Imaging Ltd.
4. Personal Data Collected through Systems of communication on this Website
Without limitation, any of the following Data will be collected from Users submitting contact forms on this website:
4.1 First and last name;
4.2 Contact information such as email addresses and telephone number;
4.3 Postcode and County;
4.4 Information about your general health.
5. Additional personal Data collected
Our staff will contact you via email and/or telephone to collect the following personal Data in order to fulfil the services laid out on this website and delivered by Medical Thermal Imaging Ltd.
5.1 Occupation/Job title
5.2 Marital status:
5.3 Number of Children and ages:
5.4 Referred by:
5.5 Name, Address & Email Address
5.6 Doctor’s or Therapist’s name
5.7 Vaccination history
5.8 Dental information
5.9 Allergy information
5.10 Lifestyle and dietary behaviour, smoking
5.11 History of illness eg. Cancer, Heart problems etc.
5.12 Prior Mammograms
5.13 Menstruation information
5.14 Family history of illness
5.15 History of any surgery or cosmetic surgery
5.16 Use of Contraceptives
5.17 Use of HRT
5.18 Recent breast symptoms
5.19 General medical history
6. Data collected automatically by the Website
6.1 Web browser type and version;
6.2 Operating system;
6.3 Referring website information, your activity on this Website, and the site you exit to;
6.4 Cookie information (no personal information is collected).
7. Why we collect your Data, and how long we hold it for
7.1 We collect Data in order to fulfil the services laid out on this website and delivered by Medical Thermal Imaging Ltd.
7.2 In order to fulfil the services laid out on this website and delivered by Medical Thermal Imaging Ltd., we will contact you by email and/or telephone to discuss our Services (e.g. appointments) with you. Without this permission Medical Thermal Imaging Ltd. would not be able to deliver its Services and we would regard a denial of this permission a denial of the Users desire to receive the Services laid out on this website and delivered by Medical Thermal Imaging Ltd.
7.3 Any personal Data you submit will be retained for as long as you use the Services and Systems mentioned on this Website. Additional data that you may submit through any communications System that we provide may be retained for the period required to fulfil the services laid out on this website and delivered by Medical Thermal Imaging Ltd.
7.4 From time to time Medical Thermal Imaging Ltd. may wish to send to the User marketing information about Medical Thermal Imaging Ltd. products and services (eg. future clinics) – we will only do so if you have explicitly consented to this via our communications and/or Systems.
7.5 We will continue to contact/liaise with you on the contact details you provide until you advise otherwise. It is your responsibility to contact us to advise of any change in your contact details.
8. Processing and Securing Data
8.1 Data security is of great importance to Medical Thermal Imaging Ltd. and to protect your Data we have put in place suitable physical, electronic and managerial procedures to safeguard the security of your Data.
8.2 All forms completed and submitted from our website are handled by our mail server using SSL encryption. No data submitted by the User through this Website is retained or stored on this Website or the Systems used to run this Website.
8.3 Unless we are obliged or permitted by law to do so, and subject to Clause 8 below (Business Ownership and Control), your Data will not be disclosed to any third parties.
8.4 We use StayPrivate Services to encrypt our emails via our Gmail accounts. When we use StayPrivate Services, we store, process and transmit your files and information (including emails, documents and photos) and information related to them, all of which remains your property and is encrypted in transfer.
8.5 Image Data (thermograms) produced on our digital cameras are filed in our Dropbox account together with your digital patient records.
8.6 All your Data (mentioned above) will be encrypted in transfer (using StayPrivate Services) to and from our doctors for purposes of Thermogram Interpretation as laid out in the services provided by Medical Thermal Imaging.
8.7 Personal Data is entered into to our appointment management System ‘PracticePal’ (Astute Data Systems Ltd.) in order to administer records of your visits to our clinic and to align this Data with your medical Data mentioned above.
8.8 PracticePal take data security very seriously. Within their organisation the data can only be accessed by staff that have been trained and that require access, i.e. support, technical development and administrative staff. PracticePal security policy and can be seen here
9. Changes of Business Ownership and Control
9.1 Medical Thermal Imaging Ltd. may, from time to time, expand or reduce its business and this may involve the sale of certain divisions or the transfer of control of certain divisions to other parties. Data provided by Users will, where it is relevant to any division so transferred, be transferred along with that division and the new owner or newly controlling party will, under the terms of this Policy, be permitted to use the Data for the purposes for which it was supplied by you the User.
9.2 In the event that any Data submitted by Users will be transferred in such a manner, you will be contacted in advance and informed of the changes. When contacted you be given the choice to have your Data deleted or withheld from the new owner or controller.
10. Accessing your own Data
10.1 You have the right to ask for a copy of your Personal Data and/or for that Data to be deleted at any time.
Please contact us at:
Medical Thermal Imaging Ltd
71 Lord Sefton Way
Ph: 0333 8003003
11. Breach of Data
11.1 We will notify Users of any breach of their Data on our Systems.
13. Changes to this Policy