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IUD & Ultrasound Referral Forms

How to Refer

Send your patient for an ultrasound assessment by completing our online referral form with a clear clinical question. (e.g., “fertility assessment”, “assess ovarian morphology for possible PCOS,” “evaluate endometrial thickness in menopause,” “early pregnancy dating and viability” with Dr Alana Shaw).

*All patients will be required to do a screening call with our doctors before imaging. 

IUD Doctor Referral Form

Ultrasound Doctor Referral Form