Do I need a note from my doctor?

Stork Snapshots Pregnant ImageAt Stork 4D Imaging Studio, we pride ourselves on our commitment to promoting healthy pregnancies. We offer limited diagnostic services therefore a visit to Stork 4D Imaging Studio should never replace a physician visit. As a result, it is our policy that all women requesting an ultrasound provide documentation that they are receiving prenatal care. Our Prenatal Care Verification Form may be utilized for this purpose.

Before your ultrasound session, please have the following form completed by your obstetrician, family practitioner, or midwife. Please fax or bring the completed form with you to your session. The form is a prerequisite before services can be completed. We look forward to meeting both you and your baby!

Select which Prenatal Care Verification Form format you prefer...
Download Adobe PDF (download form by clicking)
Download Word Doc (download form by clicking)

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Stork 4D Imaging Studio 4D Ultrasound | Chicagoland's Ultimate Maternity Destination |2274 Ogden Avenue, Aurora IL, 60504| 630-953-1800