Reserve the Ultrasound Lab

Please fill out the form to request a reservation for the Ultrasound Lab. Please schedule 1 business day before an appointment time. You will receive an email confirmation with directions and instructions when your reservation is confirmed.

If you have any questions or concerns about booking a reservation, please contact Duncan Gingrich: duncan.gingrich at northwestern.edu

Name Name First Last
Email
Program
Year in MD Program

Year in MD Program M1 M2 M3 M4
Year in PT Program

Year in PT Program First Year Second Year Third Year
Year in PA Program

Year in PA Program Didactic Year Clinical Year
Reservation Date (Room is available on Mondays through Friday between 8am and 8pm) Reservation Date (Room is available on Mondays through Friday between 8am and 8pm) / MM / DD YYYY
Reservation for this time (appointments are 1 hour) Reservation for this time (appointments are 1 hour) : HH MM AM/PM
Are you reserving on behalf of a group? (One reservation can accommodate 4 people total)

Are you reserving on behalf of a group? (One reservation can accommodate 4 people total) Yes No
Please list all group members
I have read and agree to the Peer Examination Policy

I have read and agree to the Peer Examination Policy Yes