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Patient Pregnancy and Family History Form (click to download)

 

Ultrasound Consent Form (click to download)

We now offer an ultrasound system that shows a live video broadcast for spouses that are unable to come to the appointment. For legal reasons, any patient who plans to have a partner view the ultrasound remotely will need to sign an Ultrasound Consent form. Please print, sign, and send a copy of it to us if you would like to take advantage of this service.  

 

Authorization for Release of Patient Health Information (click to download)