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(425) 748-8945
Effective Date: January 2026
Version: 1.0
Governing Law: State of Washington
Location of Services: Marysville, Washington (In-Office and Mobile)
Inner Expression Ultrasound, LLC (“Inner Expression Ultrasound,” “IEU,” “we,” “us,” or “our”) is a Washington-based private ultrasound practice providing both medically necessary diagnostic ultrasound services and non-diagnostic elective ultrasound imaging. IEU is committed to ethical imaging, informed consent, patient autonomy, transparency, and compliance with applicable federal and Washington State laws.
These User Agreement and Terms of Service (“Agreement”) are intended to clearly define the scope of services provided, establish mutual expectations, protect patient rights, and delineate legal responsibilities. This Agreement is written to ensure that Patients and Clients are fully informed prior to receiving any services from or by IEU.
This Agreement constitutes the primary and controlling agreement governing all services provided by IEU. All intake forms, diagnostic imaging consents, elective imaging consents, privacy notices, scheduling confirmations, and written policies referenced herein are incorporated by reference.
In the event of any conflict between documents, this Agreement shall govern unless a subsequent written document expressly states otherwise. Verbal statements, advertising materials, website content, or informal communications do not modify or supersede this Agreement.
Before scheduling or receiving services, Clients should understand:
This summary is informational only and does not replace the full Agreement.
Diagnostic Ultrasound
A medically indicated ultrasound examination performed by registered diagnostic medical sonographer and interpreted by a licensed physician or radiologist.
Elective Ultrasound
A self-referred, non-diagnostic ultrasound examination performed for personal, educational, or experiential purposes only.
Medical Advice
Diagnosis, interpretation, treatment recommendations, or clinical decision-making provided by a licensed healthcare provider. IEU does not provide medical advice.
Client / Patient
The individual receiving ultrasound services from IEU.
Credentialed Sonographer
A sonographer registered with ARDMS or an equivalent nationally recognized credentialing body.
Superbill
A summary of services rendered that a Client may submit to an insurer for potential out-of-network reimbursement.
Informed Consent
A written acknowledgment confirming understanding of the purpose, scope, limitations, and risks of the ultrasound service.
All ultrasound imaging is performed by properly credentialed sonographers acting within their professional scope of practice. Diagnostic ultrasound interpretations are provided through a contracted radiology group. All interpreting physicians are licensed to practice medicine in the State of Washington.
IEU adheres to generally accepted professional standards, ethical imaging practices, ALARA principles, and applicable regulatory requirements.
Clients have the right to:
Clients agree to:
IEU provides ultrasound services in both in-office and mobile settings.
Elective ultrasound imaging does not establish a physician–patient, provider–patient, or clinician–patient relationship. Elective imaging is not medical care and does not give rise to a duty to diagnose, monitor, warn, or treat any condition.
Elective services:
Any conclusions drawn from elective imaging, including those shared with third parties, are solely Client-initiated. Sharing images does not convert elective imaging into diagnostic care or create a duty of interpretation by IEU.
Diagnostic ultrasound services:
Medical decisions remain the sole responsibility of the Client’s treating healthcare provider.
IEU does not provide emergency, urgent, or after-hours medical services and does not monitor Clients for changes in condition before or after imaging. IEU has no obligation to initiate emergency referrals or follow up on outcomes. Clients must seek immediate care from emergency services or a licensed healthcare provider when needed.
IEU operates exclusively on a private-pay basis:
Elective OB Imaging
Gender Visualization
No rescans are offered for diagnostic or non-OB elective imaging.
ALL SALES ARE FINAL.
No refunds are issued for image quality, fetal position, anatomy, or other uncontrollable factors.
By providing contact information, including phone number, email address, or physical address, Clients consent to receive service-related communications, including reminders and scheduling notices. Typical frequency is 2–5 messages per appointment. Message and data rates may apply.
Clients may opt out at any time by replying “STOP.”
IEU does not sell or share contact information.
Elective imaging carries no guarantee of visualization, image quality, or accuracy. Diagnostic imaging facilitates physician interpretation; diagnosis and treatment decisions rest solely with the Client’s treating licensed providers.
To the fullest extent permitted by Washington law, IEU’s total liability is limited to the amount paid for the specific service at issue.
IEU is not liable for delays or inability to perform services due to events beyond its reasonable control, including power outages, equipment failure, natural disasters, public health emergencies, governmental actions, or provider illness.
IEU complies with HIPAA and Washington State privacy laws.
Elective imaging records are retained for one (1) year from the date of the scan. Diagnostic imaging records are retained in accordance with applicable laws. Copies may be requested subject to identity verification and lawful administrative fees.
Services provided to minors require consent from a legal parent or guardian. The signing guardian affirms legal authority and responsibility for consent and disclosures.
All IEU content, branding, documentation, and materials are proprietary and may not be reproduced without written permission.
Any dispute arising from this Agreement or services provided by IEU shall first be addressed through good-faith negotiation. If unresolved, disputes shall be resolved by binding arbitration in Snohomish County, Washington.
CLIENT AND IEU KNOWINGLY AND VOLUNTARILY WAIVE THE RIGHT TO A TRIAL BY JURY.
Each party bears its own legal fees unless otherwise awarded or required by law.
To the extent permitted by Washington law, claims must be brought within one (1) year from the date the cause of action accrues.
IEU is committed to ethical ultrasound practices, patient autonomy, informed decision-making, and avoidance of unnecessary exposure. Imaging is performed with professional judgment and respect, without guaranteeing outcomes.
Electronic signatures, acknowledgments, and digital consents are legally binding and enforceable.
By scheduling or receiving services, you acknowledge that you have read, understood, and agree to this Agreement, accept responsibility for appropriate medical follow-up, and acknowledge receipt of these Terms (Version 1.0, January 2026).
Inner Expression Ultrasound, LLC
502 State Ave
Marysville, WA 98270
Phone: (425) 748-8945
Fax: (425) 818-9529
Email: help@ieusound.com
Website: www.ieusound.com