Reveal 3D/4D Mobile Ultrasound offers elective 2D/3D/4D prenatal ultrasound for an entertainment keepsake. This entertainment ultrasound session will not provide any assumptions, diagnosis, or medical input of any kind and is not intended to take the place of a diagnostic ultrasound or any other medical procedure(s) recommended by your physician or health care provider.

As a condition of receiving services from Reveal 3D/4D Mobile Ultrasound I acknowledge and agree to the following:

I am under the care of a physician or health care provider for medical diagnosis and recommendations relating to my pregnancy.

I certify I am obtaining this 2D/3D/4D ultrasound for entertainment only and I am not obtaining this ultrasound as a replacement for, or in lieu of, standard medical care.

This ultrasound is an elective, non-medical procedure that I have voluntarily requested.The sonographer performing the ultrasound is not a doctor and cannot interpret diagnostic medical conditions, or otherwise offer medical conclusions regarding the images. I understand that the obtained images will not be reviewed by a radiologist or physician. I agree that I have no right of recourse against Reveal 3D/4D Mobile Ultrasound or my physician for any medical malpractice, professional negligence or medically related claims arising out of the use of this keepsake service.

The ultrasound session(s) is intended for entertainment purposes only to view fetal movements. The sonographer will make no attempt to provide a medically inclusive ultrasound.I understand that I am responsible for contacting my health care provider if any questions arise concerning any issues relating to this ultrasound session or any aspect of my pregnancy.

I realize and understand the quality of my ultrasound images depends upon many factors including body habitus, developmental stage, fetal position, and adequate fluid. I understand Reveal 3D/4D Mobile Ultrasound does not guarantee the quality of the images or the ability to visualize any characteristics of the fetus such as gender and all images are not stored by Reveal 3D/4D Mobile Ultrasound. I further understand that factors beyond the control of Reveal 3D/4D Mobile Ultrasound may affect the ability to accurately determine the gender of the fetus, and that there is no warranty or guarantee as to the accuracy of any such determination.

I agree that any supplies obtained for my use by Reveal 3D/4D Ultrasound are per my request and I assume any risk for using these supplies.

In consideration of the services rendered, I agree to release and hold harmless Reveal 3D/4D Mobile Ultrasound and its agents and employees (all referred to as the “released parties”), from any and all claims or causes of action for injury, harm, loss, damage, or other liability, whether caused by the negligence of the released parties or otherwise that result from or are alleged to have resulted from, this ultrasound and all services provided by Reveal 3D/4D Ultrasound.I have carefully read and understand this release and waiver of liability and hereby acknowledge I fully understand and agree to its contents.