2025 Humanitarian Health Conference Ultrasound Model Sign Up Form

2025 Humanitarian Health Conference

Ultrasound Model Sign Up Form
Models are needed for INMED's ultrasound courses at Graceway Church (near the Truman Sports Complex). These courses are as follows:

Ultrasound for Primary Care Course

Wednesday, May 28, 2025
Room 102
8:00 am – 5:00 pm
Two shifts are available (8 am - 12 pm and 1 pm - 5 pm)
Adult models, male or female, are needed.

Obstetrics Ultrasound Course
- Thursday, May 29, 2025
- Room 102
- 8:00 am – 3:00 pm
- Two shifts are available (8 am - 12 pm and 1 pm - 3 pm)
- Pregnant models are needed.
If you are available for a shift, please select your available times below.
Full Name*

First NameLast Name
Email*
Mailing Address Needed For Check*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
If you would like to be a PRIMARY CARE ultrasound model on Wednesday, May 28, please select a time:

Wed, May 28, 8:00 am - 12:00 pmWed, May 28, 1:00 pm - 5:00 pm
If you are pregnant and would like to be an OB ultrasound model on Thursday, May 29th, please select a time:

Thurs, May 29, 2025 8:00 am - 12:00 pmThurs, May 29, 2025, 1:00 pm - 3:00 pm
In which trimester will you be on Thursday, May 29, 2025?

First TrimesterSecond TrimesterThird Trimester
If for any reason you need to change your volunteer times or cancel, please contact us as soon as possible at office@inmed.us. Please allow sufficient time for our volunteer coordinator to find a replacement. Thank you!
Is there anything else you would like INMED to know?
Should be Empty: