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.

ProcedureFee
Ultrasound Outpatient Walk-in Fee$195
Ultrasound Abdomen$370
Medical Assessment Ultrasound$190
Total$755*

*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.

Starting Monday, April 8th through the end of September, the Illinois Department of Transportation (IDOT) will begin their road resurfacing project along Waukegan Road from Lake Cook Road to Half Day Road (IL 22). Please allow additional travel time to our hospital during the construction. Learn More: Waukegan Road Resurfacing Project