A signed consent form is required of all volunteers. Below includes a copy of the Volunteer Consent Form:
I, (volunteer name), agree to be a volunteer scan model at Mount Aloysius College (the “College”) for the Diagnostic Medical Sonography program. I acknowledge an ultrasound scan is conducted for the purpose of educating students and will not be evaluated by College faculty, staff,or students for medical purposes such, the supervising sonography faculty and students will not fully evaluate the desired exam and make no representation that the volunteer is receiving any medical diagnosis or treatment. I acknowledge that the College will use the scan for educational purposes, but will not disclose any personally identifiable information about me or my medical information to any party. I further acknowledge that the images taken as a result of the ultrasounds will remain the property of the College and the College will be held harmless in the event of a future diagnostic concern. I understand that there is the possibility the credentialed supervising sonography faculty and/or students may incidentally discover potential areas of diagnostic concern during this learning experience. I also understand that the College will not be responsible for any further follow-up with my physician or me. I agree to be personally responsible for following up with my physician for all medical care, if needed.
To sign this form, follow this link to the Volunteer Consent Form. Only one form needs to be completed per Volunteer. If you are volunteering for more than one scan, only one form needs to be completed.