Ultrasound Consent Form

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

ProcedureFee
Ultrasound Outpatient Emergency Fee$185
Ultrasound Abdomen$336
Medical Assessment Ultrasound$167
Total$688*

*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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