Ultrasound Imaging Screening Consent

WHAT IS ULTRASOUND IMAGING?

Ultrasound imaging uses harmless sound waves to create a live picture of your muscles, tendons, and joints while they move. Unlike an MRI, it shows your body in motion so we can see how your tissues respond in real time. It is completely safe, painless, and involves no radiation.

This kind of screening can reveal things that don't show up on a standard physical exam, including early signs of tendon stress, movement restrictions, or tissue changes that haven't become painful yet. It is also useful at confirming suspected injuries.

The screening covers the shoulders and elbows. Gel will be applied directly to the skin in those areas. We recommend wearing a sleeveless top or loose clothing that can be easily stretched or moved aside. If needed, gowns that unbutton around the shoulder will be available.

If the idea of watching your own muscles and joints under ultrasound feels uncomfortable, or if you would simply prefer a regular physical examination without imaging, just let us know. Either option works and there is no pressure either way.
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Personal Information
We collect your name and email in order to send you your private imaging interpretation and recommendations directly. This information will not be shared with anyone else unless with your permission.
First Name *
Last Name *
Email Address *
I understand what the ultrasound screening involves and I agree to participate. *
Required
All imaging and findings are private and will not be shared with any third party without my explicit permission. I have read and understand this privacy statement. *
Required
I consent to Thomas Seungmin Jung DPT sharing my imaging findings and recommendations with me directly via email. *
Occasionally, ultrasound images are useful for teaching other clinicians and students through de-identified case studies. This is completely optional and has no bearing on your participation or the care you receive.

Would you allow de-identified images from your screening to be used for educational purposes? Your name and all identifying information would be removed.
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