Consent & Acknowledgement
Thank you for choosing Coast Life Baby Bump for your non-diagnostic ultrasound experience. Please read the following consent form carefully and sign where indicated to acknowledge your understanding and agreement to proceed with the non-diagnostic ultrasound service.
Consent and Acknowledgement:
- Purpose I understand that the ultrasound service provided by Coast Life Baby Bump is non-diagnostic and for informational or entertainment purposes only. The ultrasound will not be used to make any medical diagnoses or provide medical advice.
- Understanding the Procedure I acknowledge that the ultrasound will involve the use of sound waves to create images of my pregnancy. I am aware that no medical diagnoses will be made during this session.
- Non-Diagnostic Nature I understand that this service is not a substitute for a medical ultrasound, and any concerns about my health or pregnancy should be directed to a qualified healthcare professional.
- No Medical Claims I acknowledge that Coast Life Baby Bump and its staff are not licensed to provide medical diagnoses and will not be interpreting the ultrasound images for medical purposes.
- Confidentiality I consent to the ultrasound session being documented, and I understand that my personal information will remain confidential and will not be shared with third parties without my consent, unless required by law.
- Voluntary Participation I understand that I am participating in this service voluntarily and that I may withdraw my consent at any time.
- Photos and Media Consent I consent to photographs or videos being taken during my ultrasound session. I agree that these images and videos may be used by Coast Life Baby Bump for promotional purposes, including on social media, the website, and other marketing materials. I understand that these images may be shared publicly.