Ultrasound Consent Form

We are one of the only hospitals in the Chicagoland area performing Outpatient Ultrasounds.  This has caused extensive wait times – please be patient with our staff.

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

Ultrasound Outpatient Walk-in Fee$195
Ultrasound Abdomen$360
Medical Assessment Ultrasound$186

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

  • Owner Information

  • Pet Information

  • Ultrasound report should be sent to:

  • Mandatory Consent Items

    All consent items much be checked in order to submit this form and have an ultrasound performed today.
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