PATIENT CONSENT FORM

For diagnostic ultrasound as part of clinical specialist appointment

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It is very important that you have read this information leaflet before your appointment so you have the opportunity to ask any further questions which you may wish to clarify.

Please click on 'Patient information leaflet' below to download:

Patient information leaflet

Terms and Conditions

Once we receive the completed form, this will then be screened by one of our senior clinicians. Once approved, one of our booking team will contact you to get you booked for an appointment – please note we aim to screen all consent forms within a maximum of 1-2 working days.