Sonogram Request Form

A sonogram may be used to confirm your pregnancy. In order to receive a free sonogram at one of our centers you will need either written proof of a positive pregnancy test from your doctor or a positive pregnancy test taken in one of our centers, free of charge. Once you have completed this form you will be contacted about your request.

Typing your name here gives us permission to call you.
We care about your privacy. Please let us know if we may leave a message on your voicemail or answering machine saying we are calling from Care Net.

Thank you for completing this form.  Our Nurse Manager will contact you about an appointment.

Information about our medical staff:

Our Nurses are trained in limited obstetric ultrasounds. The National Institute of Family and Life Advocates (NIFLA) equips Pregnancy Medical Clinics to achieve excellence in the provision of ultrasound services for our clients.  The NIFLA course follows the guidelines from the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) and the American College of Obstetricians and Gynecologists (ACOG) for training in limited obstetric ultrasound. NIFLA is an approved continuing education provider (California Board of Registered Nursing provider #14563).