110 Gateway Drive Suite 110B
Lincoln, CA 95648
(916) 280-3469
monpetitultrasound.com

Terms of Service and Consent

 Mon Petit Ultrasound LLC offers elective ultrasounds solely for keepsake and entertainment purposes, not to replace diagnostic ultrasounds done by a physician.

I am under the care of a physician or other health care provider relating to my pregnancy.

I realize and understand that the quality of ultrasound images depends on a variety of factors including fetal position, stage of development and bodily fluids. I understand that Mon Petit Ultrasound cannot and does not guarantee the accuracy of gender determination and/or the quality of ultrasound images.

I hereby assume all risks of personal injury to myself and my baby in any way associated with the 2D/ 3D/4D sonogram. Two (2), Three (3), and four (4) dimensional ultrasounds to obtain keepsake fetal portraits is an elective, not a medically necessary procedure.

I understand that under no circumstances will Mon Petit Ultrasound, its employees, agents or staff be held liable for any injury or damage that may occur to me or of the fetus(es) as a result of any ultrasound performed by Mon Petit Ultrasound.

I understand that Mon Petit Ultrasound owns the rights to any photos, videos or images produced during a Mon Petit Ultrasound session. I hereby authorize Mon Petit Ultrasound to use any photos, videos or images produced during a Mon Petit Ultrasound session for any manner whatsoever, including marketing materials.

I agree and acknowledge that under no conditions will Mon Petit Ultrasound, its staff, agents or employees be held liable or accountable for any consequences of any known or unknown medical condition of the mother and the fetus(es) or for failure to diagnose, treat or inform said undersigned of any known or unknown medical conditions, risks or problems regarding the undersigned mother and fetus(es).