Dr. Lauren Swerdloff
Family Medicine Physician

Medical Corporation Inc.
and DITI Functional Imaging of Santa Monica,
an ACCT Approved Thermography Clinic
Phone: (310) 829-5189

Book your Appointment On-Line

You can now book your appointment online.

Book an appointment with Santa Monica Family Doctor Lauren Swerdloff - Family Medicine Physician

 

Free Breast Thermogram in October 2013Get a FREE BREAST THERMOGRAM

When you gather 5 other women for a GO PINK! Day or 6 ladies within a week.  The ladies will receive our Group Rate.

Alternatively, you can get
$50 OFF a single Breast Thermogram.

Call (310) 829-5189 to make your appointment »

 

Latest news

Dr. Swerdloff talks about Thermography on Fox 11 News.

Watch a Fox News video featuring Dr. Swerdloff speaking about Thermography (5/13/09)
 

Dr. Swerdloff talks about Placenta on Fox 11 News.

Watch a Fox News video featuring Dr. Swerdloff speaking about Placenta
 

Dr. Swerdloff on the Documentary Channel.

Dr. Swerdloff on the Documentary Channel

Forms - Thermography

Below you will find the forms for thermography services. Please download and bring them filled out to your next visit. If you are a follow up patient please refer to "Follow Up" for your thermography service below.

 


Breast Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Breast Questionnaire
  11. Anthem ABN Waiver

If you had or have breast cancer please fill out additionally:

  1. Thermography Extended Breast Questionnaire
  2. Thermography Detailed Extended Breast Questionnaire


Breast Thermography Follow-up Patients

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History
  2. Thermography Breast Questionnaire

 

Male Full Body Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Full Body Questionnaire
  11. Anthem ABN Waiver


Male Full Body Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History

 

Female Full Body Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Breast Questionnaire
  11. Thermography Full Body Questionnaire
  12. Anthem ABN Waiver
If have or had breast cancer, also fill:
  1. Thermography Extended Breast Questionnaire
  2. Thermography Detailed Extended Breast Questionnaire


Female Full Body Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History
  2. Thermography Breast Questionnaire

 

Lower Body Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Lower Body Questionnaire
  11. Anthem ABN Waiver


Lower Body Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History

 

Region of Interest Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Region of Interest Questionnaire
  11. Anthem ABN Waiver


Region of Interest Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History

Male Upper Body Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Upper Body Questionnaire
  11. Anthem ABN Waiver


Male Upper Body Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History

 

Female Upper Body Thermography

  1. Patient Data
  2. Receipt of Privacy
  3. Financial Policy
  4. Advanced Beneficiary Notice
  5. General Adult History
  6. Schedule of Medications and Supplements
  7. Diagnoses and Problems
  8. Thermography Consent
  9. Thermography History
  10. Thermography Breast Questionnaire
  11. Thermography Upper Body Questionnaire
  12. Anthem ABN Waiver
If have or had breast cancer, also fill:
  1. Thermography Extended Breast Questionnaire
  2. Thermography Detailed Extended Breast Questionnaire


Female Upper Body Thermography Follow up Patients:

If you are a follow up patient please download the form below and bring it filled out to your next visit.

  1. Thermography History
  2. Thermography Breast Questionnaire

 

 

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