Book Appointment

Book Your Appointment

The information you provide on this form helps Comfort Scan understand your scan needs and offer the most appropriate ultrasound service. All responses are strictly confidential. Please answer each question as accurately and completely as possible

Patient Appointment Booking Form

Scan Selection
Contact Information
Consent Form
Payment

Select your scan

Scan Type

Abdominal Ultrasound

Abdominal Scan

Full Abdomen Scan - £180

Upper Abdomen Scan - £140

Lower Abdomen Scan - £140

Gallbladder Pain Scan - £120

Abdominal Aorta (AAA) Scan - £120

Scan Preparation

Upper Abdomen:

Fast for 6-8 hours before the scan (no food or fizzy drinks).
Small sips of water only if needed for medication.
Avoid smoking, chewing gum, or vaping before the scan.

Lower Abdomen Scan

Drink 1–2 litres of water 1 hour before your scan.
Do not empty your bladder until after the scan.
No fasting needed unless combined with an upper abdomen scan.

Pelvic Ultrasound

Pelvic Scan

Pelvic (Abdominal & Vaginal) Scan - £180

Pelvic (Transabdominal) - £140

Post Menopausal Bleeding - £180

Endometrial Thickness Scan - £140

Pelvic Fertility Scan - £140

IUCD Coil Scan - £120

Endometriosis Ultrasound Scan - £195

Scan Preparation

Transabdominal and Transvaginal Scan: For transabdominal scans, please drink about 2 litres of water 45-One hour minutes before your appointment and do not empty your bladder.
For transvaginal scans, please empty your bladder before arrival.

Renal Ultrasound

Renal Scan

Kidney Colour Doppler - £180

Kidney Urinary Tract Scan - £140

Testes & Scrotal Scan- £130

Testicular Doppler & Renal - £185

Hernia Scan - £130

Prostate (External) & Bladder Scan - £120

Scan Preparation

Kidney & Bladder Scan: Please drink about 1-2 litre of water 1 hour before your appointment and do not empty your bladder.
A full bladder helps assess both the bladder and kidneys more accurately.
No fasting is required unless advised otherwise.

Breast Ultrasound

Breast Scan

Breast Scan (One side) - £150

Breast Scan (Both sides) - £220

Follow-up Breast Scan - £150

Under Arm (Axilla) (One side) - £130

Under Arm (Axilla) (Both sides) - £190

Scan Preparation

No special preparation is required for a breast ultrasound.
Please avoid applying lotions, powders, or deodorant on the chest or underarm area on the day of the scan.
Wear a two-piece outfit for easy access during the examination.

Lumps & Bumps Ultrasound

Lumps and Bumps Scan

One area Scan - £150

Multiple areas Scan - £195

Abdominal Wall Scan - £160

Scan Preparation

No special preparation is needed for this scan.
Please wear loose clothing to allow easy access to the area being scanned. Inform us if the lump has changed in size, is painful, or has been previously assessed.

Children Ultrasound

Children & Youth Scan

Abdominal Scan (Children)- £150

Urinary Tract Scan - £150

Hip Scan (Infant) - £150

Carnial (Head) Ultrasound- £195

Scrotal Scan (Boys)- £150

Neck Scan - £150

Lump / Hernia Scan - £150

Lung Scan - £180

Scan Preparation

General: No special preparation needed. Your child can eat and drink normally — dress them in loose, comfortable clothing.
Abdominal: Avoid food and drinks (except small sips of water) for 4–6 hours before the scan for clearer images.

Vascular Ultrasound

Vascular Scan

Carotid Artery Doppler & CIMT - £180

Arterial Doppler Scan (One side) - £160

Arterial Doppler Scan (Both sides) - £220

DVT Doppler Scan (One Limb)- £160

DVT Doppler Scan (Two Limbs)- £220

Renal Colour Doppler Scan - £190

Abdominal Colour Doppler Scan - £190

Abdominal Aorta (AAA) Scan - £130

ABPI (Ankle Brachial Index)- £100

Thoracic Outlet Scan (One side) - £275

Thoracic Outlet Scan (Both sides) - £500

Scan Preparation

Most vascular scans require no special preparation.
For abdominal aorta scans, fast for 6 hours prior — no food or drink except water.
Wear comfortable clothing and bring details of any previous vascular tests, if available.

Neck Ultrasound

Neck Scan

Thyroid Scan - £160

Neck Lump Scan - £150

Lymph Node Scan - £150

Salivary Gland Scan - £150

Full Neck Scan - £195

Scan Preparation

No special preparation is needed.
Please avoid wearing necklaces or high-collar clothing.
Bring any previous imaging or blood test results if available.

MSK Ultrasound

MSK Scan

Knee Scan (One side) - £150

Knee Scan (Both sides)- £220

Hip Scan (One side) - £150

Hip Scan (Two sides) - £220

Scan Preparation

No special preparation is needed.
Please avoid wearing necklaces or high-collar clothing.
Bring any previous imaging or blood test results if available.

Preferred Appointment Date & Time

Basic Information

First Name

Last Name

Date of Birth

Gender

Contact Information

Your Address

Address Line 1

Address Line 2

City

County

Post Code

Email Address

Emergency Contact Number

Phone/Mobile

Medical Information

Do You Have Any Disability?

Yes

What Type of Disability Do You Have?

Female Patients Only

Female specific history

When did your last period begin?

Who is completing this form?

Patient (Self)

Paren/Legal Guardian

Carer

Name (please specify) ?

How were you referred?

Self - Referral

GP/Health Professional

Other

Name (please specify) ?

Clinical Indication

Consent Form

This consent form confirms your agreement for Comfort Scan Limited to perform reasonable and necessary ultrasound scanning procedures as discussed.

Consent Policies

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I understand that ultrasound may be less effective for deep-tissue imagi

I acknowledge that while ultrasound is generally safe, scan duration and intensity will be kept as short and low as reasonably necessary to minimize risk.

I accept that scans have limitations and may reveal unexpected findings. In such cases, the sonographer will explain the findings and seek my permission before sharing them with my healthcare provider.

I consent to Comfort Scan Limited securely processing my personal and medical data solely for this scan. I understand my data will only be shared with my healthcare team with my explicit permission, in compliance with GDPR and NHS confidentiality standards.

I confirm I have reviewed and understood Comfort Scan’s Privacy Policy regarding data use and protection.

I understand my right to receive clear information about the procedure, including any risks, to make an informed decision.

I acknowledge that my consent remains valid unless I actively withdraw it, and I retain the right to decline any part of the procedure at any time.

I understand that Comfort Scan is a self-pay service and does not bill insurance. I agree to pay the full fee at the time of booking via cash, card, or bank transfer.

I consent to have this website store my submitted information so they can respond regarding my booking information

Is this patient able and willing to consent for themselves?

Yes

Patient's Signature

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Signing Date

Parent/Guardian/Carer Signature

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Signing Date

First Name

Last Name

Relationship to the patient

How did you hear about us?

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GP or Healthcare Provider

Magazine/Newspaper

Leaflet/Flyer

Returning Patient

Other

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