Augusta University Medical College of Georgia
Volunteer Information Sheet & Consent Form

As an adult at least 18 years of age, you have agreed to participate as a volunteer for an ultrasound procedure with the Medical College of Georgia learners at Augusta University to learn basic principles of ultrasound. Ultrasound is a medical procedure that uses high frequency sound waves to produce images of the human body.

Ultrasound procedures do not involve exposure to any X-ray or other radioactive substances. In fact, there are no known harmful effects resulting from the uses of ultrasound for which you have volunteered.

The purpose of the ultrasound procedure to be performed on you is to better educate learners in the use of ultrasound. The purpose of the ultrasound procedure is not to locate or diagnose medical conditions. Faculty will be present during the ultrasound procedure and if anything unusual is suspected, you will be informed and we will recommend that you see your physician for follow-up care. However, because the purpose of this ultrasound procedure is not to look for any disease, it is possible that disease would not be detected. The faculty, students, or any other entities of Augusta University are not responsible for any outcomes involved with the ultrasound procedure. If you suspect that you have a medical disease or condition that needs diagnosis, you should see your physician and not participate in the ultrasound procedure as a volunteer.

By signing this agreement, you hereby release and hold harmless the Board of Regents of the University System of Georgia, Augusta University, their members, employees, agents and authorized representatives, from all losses, damages, costs, and expenses, claims, demands, rights and causes of action resulting from any personal injury or damage to property arising out of this voluntary activity.