Registration

We offer HDlive, 3D, and 4D ultrasound and free live streaming gender reveal options in St. Johns, Jacksonville and Ponte Vedra Beach FL

You only need to fill out this registration form for a 2D, 3D, 4D ultrasound or Sneak Peek Clinical gender blood test once during each pregnancy. We will never share your personal information with any other companies or third parties. Your information is safe and secure!

Do you wish to know your baby’s gender?

Type of Pregnancy?

Do you wish to Live-Stream your session?

14 + 11 =

We are not a medical facility and can provide no medical advice, prescriptions or recommendations of any kind. Contact your primary care physician/doctor for medical information regarding your pregnancy.

We include a limited non-diagnostic scan to confirm the gender, number of babies, baby’s presentation, placental location and measure the heart rate. Please note, at no time is this exam to be used in place of a complete diagnostic ultrasound. We are in no way liable for ultrasounds performed or any other related liability.

I verify the accuracy of the information above. I authorize Ponte Vedra Ultrasound to disclose medical information to my healthcare provider if necessary. I understand that I am financially responsible for charges related to this ultrasound.

As evidenced by your submission of this form, you understand that factors beyond Ponte Vedra Ultrasound’s control may also affect the ability to accurately determine the gender of the fetus, and that Ponte Vedra Ultrasound can provide no warranty or guarantee as to the accuracy of any such determination. IN CONSIDERATION OF THE SERVICES RENDERED, YOU AGREE TO RELEASE PONTE VEDRA ULTRASOUND, ULTRASOUND TECHNOLOGISTS, OWNERS, AND EMPLOYEES FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION FOR INJURY, HARM, DAMAGE OR OTHER LIABILITY WHICH RESULTS FROM, OR ARE ALLEGED TO HAVE RESULTED FROM, THIS ULTRASOUND, INCLUDING BUT NOT LIMITED TO, THE FAILURE OF PONTE VEDRA ULTRASOUND TO ACCURATELY DETERMINE FETAL GENDER OR OTHER CHARACTERISTICS, AND ANY DAMAGES OR INJURIES RESULTING FROM, OR ALLEGED TO RESULT FROM ULTRASOUND WHICH ARE NOT NOW KNOWN TO OCCUR.
This ultrasound is an elective procedure that I have voluntarily requested, and is not intended to take the place of a diagnostic ultrasound or any other test or treatment that has been or may be recommended by my healthcare provider.

The technologist who performs this ultrasound while qualified to provide such ultrasound services, is not qualified to interpret, diagnose medial conditions from, or otherwise offer medical conclusions regarding the images produced.

You understand that you are responsible for contacting your own healthcare provider if you have any questions concerning this ultrasound or any other aspect of your pregnancy.

NO PHOTOGRAPHY OR VIDEO RECORDING IS ALLOWED IN THE ULTRASOUND SCAN ROOM, BY YOU OR ANYONE IN YOUR PARTY.

All ultrasound services we perform assume that you have adhered to the aforementioned “Ponte Vedra Ultrasound LLC policies”. By utilizing any of our services you are automatically agreeing to the above mentioned policies.

Questions are the root of all answers
Don’t Be Shy!