General Ultrasound Screening — Informed Consent (Screening Only, Not Diagnostic)

Terms & Conditions

Purpose of the Ultrasound Scan:

I understand that this ultrasound scan is being performed as a screening examination only — to provide a general view / screening of internal organ(s)/structure(s), or as requested, but not to provide a full diagnostic assessment.

I understand that the scan is not intended to replace any diagnostic work-up (if needed) or specialist evaluation.

Scope & Reporting:

The scan will be carried out by a trained sonographer.

I understand that after the scan, the images (or relevant data) may be reviewed and reported by a qualified radiologist. The radiologist’s report will represent their interpretation of the scan based on the images obtained.

I acknowledge that because this is a screening (non-diagnostic) ultrasound, the report is limited by the nature and quality of the scan (image quality, technical or patient factors), and does not guarantee detection of all possible abnormalities. This scan should not be considered a “full diagnostic guarantee.”

Limitations & Uncertainty:

I understand that ultrasound has inherent limitations: some conditions may not be visible, or may be missed depending on patient factors (body habitus, organ visibility), technical factors, fetal position (if obstetric), or other variables.

I understand that a “normal” scan result from this screening does not guarantee that I (or the subject of scan) is free from all disease, anomalies, or future problems.

Risks & Safety:

I understand that ultrasound is generally considered safe and uses sound waves (not ionizing radiation).

I accept that while no harmful effects have been established for routine ultrasound, as a precaution, the sonographer will keep the exposure (duration, intensity) as low as reasonably achievable (ALARA) to obtain necessary images.

Voluntary Participation & Right to Ask Questions / Decline

I confirm that the purpose, benefits, limitations, and possible outcomes (including that the scan may not detect all issues) have been explained to me in language I understand.

I have had the opportunity to ask questions and feel sufficiently informed.

I understand that I am free to decline or withdraw consent at any time before or during the scan without affecting my access to other medical care.

Confidentiality & Use of Images / Reports:

I understand that images and reports generated from the scan will be treated as part of my medical record, stored securely, and confidentiality maintained.

I understand that I will receive a report summarising the findings. However, given the screening-only nature, further diagnostic tests or follow-up may be recommended if clinically indicated.

Reporting & Confidentiality:

I acknowledge that I will receive a tele-report via email (or other electronic means), which is a summary of findings and not a full diagnostic DICOM-quality radiology report.

I understand that the images and report will be stored confidentially and will only be shared with authorised persons (e.g. me, my spouse) unless I consent otherwise.

Appointment Punctuality and Cancellation Policy

I understand that I am required to arrive at least 15 minutes prior to my scheduled appointment time for check-in and preparation.

I acknowledge that arrivals more than 15 minutes late may be charged at the walk-in price, which includes a 30% additional charge, instead of the online booking price.

If I fail to appear for my appointment, I understand that the appointment will be automatically cancelled and the booking fee will not be refunded.

Services

Uterus and Ovulation Ultrasound Screening