Ultrasound Consent Form

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We place the highest priority on ensuring you feel comfortable with the plan for your pet’s care and fully understand the authorizations below before giving your consent. If you have any questions or need clarification on any of the choices, please contact the hospital so a medical team member can review the form with you prior to completing it. As always, thank you for entrusting us with your pet’s care!


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Appointment Time*

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Species*


Ultrasounds at Health and Harmony Animal Hospital are done by a mobile service and not performed by our veterinarians. Abdominal ultrasonography is a non-invasive technique used to image organs within the abdomen and/or chest. The area to be imaged must be shaved in order to provide adequate imaging. Irritation may occur to the skin as a consequence. Hair regrowth generally takes multiple weeks to occur, but can be more prolonged in certain pets.

Fine needle aspiration is a procedure involving placement of a needle, using the guidance of an ultrasound, into an organ or mass. A tissue sample is drawn into the needle and sent in for diagnostic testing. This procedure is often the first step towards diagnosing abnormalities identified on ultrasound examination. Fine needle aspiration is generally a safe procedure, but with any procedure there are always inherent risks. If the veterinarian deems a fine needle aspirate necessary*


In the event of an unforeseen emergency, if your pet were to go into cardiac or respiratory arrest, please indicate what life-saving measures you would like the doctors and medical staff to take by selecting ONE choice below*


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What's Next

  • 1

    Call us or schedule an appointment online.

  • 2

    Meet with a doctor for an initial exam.

  • 3

    Put a plan together for your pet.

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