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We're excited to meet you! Our group consultations are held virtually and last 1 hour.
Sign up for a Consultation with the Midwives
Choose a Consult--1st Choice
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Choose a Consult Date--2nd Choice
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First Name
Last Name
What Are Your Pronouns?
Partner's First Name (if applicable)
Partner's Last Name (If applicable)
What Are Your Partner's Pronouns?
Your Email
Insurance Co. & Type (PPO, HMO, EPO)
Phone
Current Prenatal Provider
First Day of Last Period
Estimated Due Date
What # Pregnancy?
Age at Due Date
# of Children You Have
Please tell us about your pregnancy journey
Please share with us any health history pertinent to pregnancy (e.g., chronic illness)
Please share any special considerations you'd like us to know
How did you hear about Golden Oak Midwives?
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