Get the free 3D 4D Sonogram Consent Form - Center for Women039s Health
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Phone: 316.634.0060 Fax: 316.634.0050 Website: www.cwhwichita.com 1855 N Webb Rd, Wichita, KS 67206 3D × 4D Sonogram Consent Form Please print this form and ask your physician to sign it. Once it
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How to fill out 3d 4d sonogram consent
Who needs 3d 4d sonogram consent?
01
Pregnant women who want to have a 3d 4d sonogram done of their baby.
02
Parents or legal guardians of a minor who want to authorize a 3d 4d sonogram for the minor.
How to fill out 3d 4d sonogram consent:
01
Start by carefully reading the consent form. Make sure you understand all the information and terms mentioned.
02
Fill in your personal details accurately, including your full name, address, phone number, and date of birth.
03
If you are filling out the consent for a minor, provide the minor's full name, date of birth, and your legal relationship to the minor (e.g., parent, guardian).
04
Next, provide relevant medical information, such as your obstetrician's name, contact information, and the estimated due date of the pregnancy.
05
Review and sign the consent form, indicating your understanding and agreement to proceed with the 3d 4d sonogram.
06
If you are filling out the consent for a minor, you will need to sign as the parent or legal guardian, acknowledging your authorization for the procedure.
07
If necessary, provide any additional information or details requested on the form, such as special instructions or concerns you may have.
08
Consider making a copy of the completed consent form for your records before submitting it to the medical facility or sonogram provider.
09
Finally, submit the filled-out consent form to the appropriate person or department, following the instructions provided on the form or as directed by the healthcare provider.
Remember, it is essential to ask any questions or seek clarification from your healthcare provider or the facility offering the 3d 4d sonogram if you have any doubts or concerns before signing the consent form.
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