Skip to content Skip to search Skip to footer
WashU Medicine

Department of

Obstetrics & Gynecology

Menu
  • About
    • Vision, Mission, Values & CARE Model
    • Department Directory
      • Assistants & Administrative Staff
    • Locations & Facilities
    • History of the Department
    • Open Faculty Positions
    • Links for Employees
    • Quick Links
  • Divisions
    • Center for Reproductive Health Sciences (CRepHS)
    • Division of Clinical Research (DCR)
    • Division of Complex Family Planning, Contraception, & Gynecology
    • Division of Urogynecology & Reconstructive Pelvic Surgery
    • Division of Academic Specialists of Obstetrics & Gynecology
    • Division of Gynecologic Oncology
    • Division of Maternal-Fetal Medicine & Ultrasound
    • Division of Minimally Invasive Gynecologic Surgery
    • Division of Pediatric and Adolescent Gynecology
    • Division of Reproductive Endocrinology & Infertility
  • Patient Care
    • MyChart Patient Portal
    • Referring a Patient
    • Clinical Trials
    • Obstetrics: Pregnancy & Childbirth
    • High-Risk Pregnancy
    • Ultrasound & Genetic Counseling
    • Fertility & Reproductive Medicine
    • Complex Family Planning, Contraception, & Gynecology
    • Gynecology
    • Gynecologic Cancer
    • Gynecologic Surgery
    • Pelvic Floor, Bladder & Urogynecology
    • Pediatric & Adolescent Gynecology
    • Share Your Feedback
  • Education & Training
    • Grand Rounds
    • Residency
      • Our Alumni
      • Rothman Research Symposium
    • Fellowships
    • Training Sites
    • About St. Louis
    • Medical Students
      • Visiting Medical Students
    • Visitors
    • Visiting Residents and Fellows
    • Research Seminars
    • Postdoctoral Fellowship in Women’s Health with a focus on Female Lower Urinary Tract Disorders (T32)
    • Professional Development Series (PDS)
  • Research
    • Division of Clinical Research (DCR)
    • Center for Reproductive Health Sciences (CRepHS)
    • Clinical Trials
    • Research Strengths
    • Route 66 Endometrial Cancer SPORE
    • Recent Publications
    • Training Opportunities
    • Investigator Resources, Core Facilities & Funding Opportunities
  • News
    • Newsletters
    • Annual Report
  • Events
    • Calendar View
  • Alumni & Giving
    • Emeritus Faculty

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

Obstetrics & Gynecology

WashU Medicine

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

St. Louis, MO 63110

Patients: 314-362-7135

Links for Employees

  • Instagram
  • Twitter

©2025 Washington University in St. Louis