À La Carte Items

Please fill out the following form for Mother's Choice ultrasound - $60 plus below selected items

First Name

Last Name

Email

Appointment Date

Appointment Time

6-20 ultrasound images saved and emailed $20

No

Yes

Gender determination or confirmation $20

No

Yes

Additional family member or friend (up to 10) $20

No

Yes

3D/4D Ultrasound Session $30

No

Yes

Video recording with your own mobile device $20

No

Yes

4"x6" size ultrasound image printed $20

No

Yes

Ultrasound video recorded and saved on USB flash drive $30

No

Yes

In the Comfort of Your Own Home session $100

No

Yes

Cardio Cub - stuffed animal with recorded heartbeat $50

No

Yes

Ultrasound video recorded and emailed $20

No

Yes

I declare that the info I’ve provided is accurate & complete

I acknowledge that I have read and understand the Waiver of Liability & Disclaimer.

View terms of use

Thanks for submitting!

bottom of page