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Adams County Services
Referral Form English
Microsoft
Date: ___
Referral Date: ___PATIENT/CLIENT INFORMATION
Patient/Client Name (being referred) :
Date of Birth/Expected Delivery Date:Sex:HOME VISITATION
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How to fill out your dating ultrasound and
How to fill out your dating ultrasound and
01
Schedule an appointment with a radiology clinic or hospital that offers dating ultrasounds.
02
Arrive at the appointment with a full bladder, as this helps with visualization of the fetus.
03
Follow any specific instructions given by the healthcare provider, such as fasting before the ultrasound.
04
Wear comfortable clothing that can easily be moved to expose your abdomen.
05
Lie down on the examination table and allow the technician to apply gel on your abdomen before using the ultrasound probe.
Who needs your dating ultrasound and?
01
Pregnant women who are unsure of the gestational age of their pregnancy may need a dating ultrasound to determine how far along they are.
02
Healthcare providers may also recommend a dating ultrasound for women with irregular menstrual cycles or those who have conceived while using contraception.
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What is your dating ultrasound and?
A dating ultrasound is a prenatal ultrasound performed early in the first trimester to determine the estimated due date of the pregnancy.
Who is required to file your dating ultrasound and?
Pregnant individuals are typically required to have a dating ultrasound done by a healthcare provider.
How to fill out your dating ultrasound and?
The dating ultrasound is filled out by the healthcare provider conducting the ultrasound and the information is typically recorded in the patient's medical records.
What is the purpose of your dating ultrasound and?
The purpose of a dating ultrasound is to accurately determine the gestational age of the fetus and estimate the due date of the pregnancy.
What information must be reported on your dating ultrasound and?
Information such as measurements of the fetus, the crown-rump length, and any other relevant findings from the ultrasound must be reported.
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