UNIT 11, NEWPORT ARCADE, HIGH STREET, NEWPORT, NP20 1GD

PRE-SCAN  AGREEMENT

Precious Moments Baby Scans Newport

I have read a copy of the booking terms and conditions in full and agree to all of the terms.

I am happy for you to perform an ultrasound scan on me.

I understand that the following are the health checks that are carried out during my scan

– Check for single/multiple pregnancy
– Hear / See your baby’s heartbeat (depending on gestation)
– Check Measurements
– Position of baby & placenta (depending on gestation)
– Estimated Due Date

I understand that Precious Moments Baby Scans Newport are not responsible for any outcome during or after my scan.

Precious Moments Baby Scans ONLY perform transabdominal (external) scans.

If you are having a gender scan done, you understand that NO gender given is 100% accurate until baby is born.

I understand that Precious Moments Baby Scans Newport do not look for ectopic pregnancy during any scan. Should Precious Moments Baby Scans Newport notice something unusual they will refer me to my doctor, midwife or early pregnancy unit at the hospital, for investigation.

I understand that Precious Moments Baby Scans Newport take no responsibility for any complications that may occur during my pregnancy and I must go to my doctor, midwife or early pregnancy unit at the hospital if I have any concerns.

I understand that by making an appointment with Precious Moments Baby Scans Newport I accept this agreement and your terms and conditions in full.

 

Name                                  YOUR NAME WILL BE ENTERED HERE

Signature                            YOUR SIGNATURE WILL BE HERE

Date                                    PURCHASE DATE WILL BE HERE