Going by this pic, you'll only need a thermal pad on the top right part of your pic:

http://static.squarespace.com/static/51998404e4b0ef02d1bd9c2c/t/51ac4065e4b07735470f0944/1370243173184/gtx690.pdf
http://static.squarespace.com/static/51998404e4b0ef02d1bd9c2c/t/51ac4065e4b07735470f0944/1370243173184/gtx690.pdf