OB Appointment Worksheet

Sonography OB Appointment Worksheet

Are you at least 16 weeks pregnant? (Required)

Please be as accurate as you can be

Are you allergic to latex? (Required)

Covid Questions

You will be asked a series of Covid questions at the time of scheduling your appointment.  You will be asked those questions again at the time of your appointment

A temperature check will be taken at time of appointment.  If you have a temperature of 100.4 or higher, you will be asked to reschedule.  We want to keep each of our students, faculty, staff and YOU as safe as possible by following the CDC guidelines as well as our state issued measures.

If you or someone who resides with you begin to show symptoms of Covid after we have scheduled your appointment, please call or email Rebecca so that we can reschedule you. 850-873-3589 or

If you need to cancel or reschedule, please call or email Rebecca to inform her as soon as possible so that we may be able to fill in the appointment with another anxious volunteer.  Please do not NO SHOW, as it slows the students practice hours that are so desperately needed.