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Washington University School of Medicine in St. Louis

Department of

Obstetrics & Gynecology

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Ultrasound & Screening: Patient Forms

To help us better prepare for your visit and to save you time, we may ask you or your physician to complete one of the forms below before your visit.

Patient Ultrasound questionnaires:

  • Gynecologic Ultrasound (pdf)
  • Obstetrical Ultrasound History Form (pdf)
  • Obstetrical Ultrasound-Spanish/Español (pdf)

Genetic Counseling forms:

  • GC History Forms

Download New Patient Forms

  • For Patients & Providers
    • Covid-19 Guidelines for Patients
    • Referring a Patient
    • Clinical Trials
    • Obstetrics: Pregnancy & Childbirth
    • High-Risk Pregnancy
    • Ultrasound & Genetic Counseling
      • Ultrasound & Screening: Patient Forms
    • Fertility & Reproductive Medicine
    • Family Planning & Contraception
    • Gynecology
    • Gynecologic Cancer
    • Minimally Invasive Gynecologic Surgery
    • Bladder & Pelvic Health
    • Pediatric, Adolescent & Young Adult Gynecology
    • All Patient Care Locations
    • Share Your Feedback

Department of Obstetrics & Gynecology

Washington University School of Medicine

Post Address: MSC 8064-37-1005, 660 S. Euclid Ave.

St. Louis, MO 63110

Patients: 314-362-7135

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Affiliate institutions

Barnes-Jewish Hospital; Washington University Physicians; St. Louis Children's Hospital

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