Consent to Obstetrics Scan

I confirm that I am requesting this scan for personal reasons and that ULTRASOUND ELITE is not responsible for my primary Obstetric/Antenatal care.

I confirm that I am the person who is having the scan and that I AM OVER 18 YEARS OF AGE (please bring valid ID as failure to do so may result in being turned away if not available at the time of scan.)

I understand that antenatal ultrasound scan is not perfect and that not all abnormalities can be detected. A normal antenatal ultrasound scan does not guarantee a normal baby at delivery. I understand that the Sonographer was to detect a problem during the scan, she will inform me and direct me back into NHS care (this sometimes means discussing your case with relevant healthcare professionals).

I am aware that as part of this examination a transvaginal (internal scan) may be suggested, and will only be performed with my verbal consent.

In cases of gender scan, we have a high degree of accuracy, but there are no absolute guarantees. I am now aware that although there is no known side effects to ultrasound, it is advisable to keep ultrasound examinations to a minimum.

I will make the Sonographer aware of any underlaying medical conditions / allergies which may adversely compromise the scan (eg Latex allergies)

I am aware that routinely Ultrasound Care do not provide an independent Chaperone. I will contact them prior to scan if I wish them to arrange a chaperone.