I understand that I have chosen to obtain an elective 2D/3D/4D fetal ultrasound from Angelic Fetal Imaging (AFI). I understand this has not been ordered by my physician and this ultrasound is not covered by any insurance.
Picture Quality: I understand picture quality is dependent on many factors.
I understand that AFI is not always able to obtain pictures of every baby. I understand no refunds are available if unable to obtain pictures or gender.
Gender:We only guarantee the gender if, the gestational period is at or greater than 14 weeks at the time of appointment. IF your due date changes after your gender scan we will honor the due date given at the time of appointment.
A guaranteed gender means: IF we provide the wrong gender to you- WE will rescan you for free, and refund you the ultrasound amount paid. (Tax will NOT be included in your refund)
Prenatal Care: I acknowledge that I have been informed by Angelic Fetal Imaging (AFI) that prenatal care is important to a healthy pregnancy. I understand that in no way is this elective ultrasound to be substituted for routine prenatal care.
Concerns Should Be Referred to Physician: If I have any concerns regarding my pregnancy, I will contact my doctor. I will in no way rely upon AFI or its services for medical advice. I understand that it is not appropriate to ask the staff of AFI any questions regarding the health and well-being of my unborn child.
No Professional Negligence Claims: I am purchasing AFI’s services and products for keepsake, non-medical purposes. I agree that I have no right to recourse against AFI in any medical malpractice, professional negligence or any medical related claim arising out of or in any way related to my pregnancy or the birth of my child. This includes any claim for error in gender determination.
Assumption of Risks: I acknowledge that there is inherent risk in any activity involving a fetus and there are potential risks in this type of activity. I understand AFI follows FDA recommendations for length of scan and frequency of ultrasound sound waves, and that no detrimental effects have been found in 40 years of studies. I hereby voluntarily assume all risk of harm or injury to me or my baby resulting from the services provided by AFI.
Waiver and Release of Claims
I hereby waive, release, acquit and forever discharge AFI from any and all claims, expenses, demands, costs, causes of action, and other actions and liabilities, of any nature whatsoever, whether known or unknown, whether in law or equity, that I or my baby may have arising out of or in any way related to my visit to AFI. I agree that I shall have no right to whatsoever to file any lawsuit or institute any other action or legal proceedings of any type arising out of or in any way related to my visit to AFI.
I have read, I understand and I agree to all of the above.