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

PRE-SCAN  AGREEMENT

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 only the health checks listed on the package page are carried out during the scan.  No additional checks will be made.

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 you do not look for fetal abnormalities. Should Precious Moments Baby Scans notice something unusual they will refer me to my doctor, midwife or early pregnancy unit at the hospital, for investigation.

I understand that you do not look for any pregnancy complications during the scan.

I understand that Precious Moments Baby Scans 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.

Name                                  YOUR NAME WILL BE ENTERED HERE

Signature                            YOUR SIGNATURE WILL BE HERE

Date                                    PURCHASE DATE WILL BE HERE