ECC Ultrasound Consent Form

This form must be submitted before your pet is eligible for today’s ultrasound.

ProcedureFee
Exam - Emergency$170*
Ultrasound Abdomen$360
Medical Assessment Ultrasound$177
Sedation (if necessary)$60
Total$707** - $767**

*this fee is excluded if returning for just an ultrasound

**does not include additional diagnostics, which will require owner’s consent before proceeding

  • Owner Information

  • Pet Information

  • Mandatory Consent Items

    All consent items much be checked in order to submit this form and have an ultrasound performed today.
  • IF CLICKING SUBMIT BUTTON BELOW DOES NOT DISPLAY SUBMISSION SUCCESSFUL, PLEASE SCROLL UP, CORRECT ANY FIELDS HIGHLIGHTED IN RED, AND TRY AGAIN.

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