About your sonogram

Eligibility requirements

To be eligible for this sonogram, you must meet the following requirements.

Your physician or their designee is required to complete and sign this form giving us permission to do this procedure. You should bring this signed form with you to the ultrasound lab.

Important: We will not do the sonogram without this signed form.

Scheduling

Available days and times vary per semester. This is by appointment only. Please call or email to schedule your sonogram:

To be completed and signed by the patient’s physician or their designee. Fields can be filled in on screen before printing; the signature must be handwritten on the printed form.