Ultrasound Model Volunteer List
Volunteers selected will have the opportunity to receive a limited OB Ultrasound scan. These scans are a part of a training process for our resident nurses and will ONLY be identifying 3 things: (1) if the pregnancy is occurring in the uterus (2) the viability of the pregnancy and (3) the approximate gestational age.
Location: Abria St. Paul Clinic
2200 University Avenue West #160 St. Paul MN 55114
Contact Information
Name
First Name
Last Name
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Please list the type(s) of OB Ultrasound you are open to receiving:
transvaginal
abdominal
What is the date of your last menstrual period?
Which trimester are you currently in your pregnancy?
Currently not pregnant
Trimester 1
Trimester 2
Trimester 3
If you are currently pregnant, have you received an ultrasound for this current pregnancy?
Yes
No
N/A
How many previous pregnancies have you had (not including this current pregnancy)?
0
1
2
3
4 or more
Is there any information that would be helpful for us to obtain regarding your health prior to offering an ultrasound?
Which day of the week do you have availability? (Please note, ultrasound scans will be offered the week of September 30 - October 4)
Monday September 30
Tuesday October 1
Wednesday October 2
Thursday October 3
Friday October 4
Please indicate the time you normally are available during the day:
9:00 a.m. - 12:00 p.m.
2:00 p.m. - 5:00 p.m.
How did you hear about this opportunity?
Submit
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