Radiology Pre Check-In Form

Duluth Animal Hospital partners with a board-certified radiologist to help visualize the internal organs in your pet’s abdomen for diagnostic purposes. Each abdominal ultrasound (sonogram) is performed only by a board-certified radiologist using the latest generation of portable abdominal ultrasound equipment. Our goal is to provide you with accurate, timely consultations and give you the detailed recommendations you need to manage your pet's medical needs. You will be in contact with one of our doctors after the ultrasound report is complete, and medications and/or treatment options will be discussed with you at that time.

Pet must be dropped off BEFORE 10 AM on the day of ultrasound.

A deposit of $150 is required at the time of scheduling to reserve your appointment. This will be applied to your total at check-out.

Cancellation or rescheduling must be done AT LEAST 24 hours prior to appointment or deposit is forfeit.

I understand that the attending veterinarian will make every effort to contact me regarding treatment in the case of unforeseen emergencies. If unable to contact me, the staff has my permission to proceed with life-sustaining procedures.

While I accept that all procedures will be performed to the best of the abilities of the staff at DAH, I understand that no guarantee or warranty has been made regarding the results that may be achieved. 

I assume full responsibility for any additional expenses incurred as outlined above. Payment is due at the time of service by credit or debit card, CareCredit, or cash. Checks are not accepted.

I have read and fully understand the terms and conditions set forth.