Labor & Delivery
Birthing Tour
Visita de partos
Personal Information (
Información personal
)
First name
Primer nombre
Last name
Apellido
Personal e-mail
Correo electrónico personal
Phone number
Número de teléfono
Due date
¿Cuál es la fecha de parto?
To ensure availability for all tours, we recommend the tour between weeks 30 and 34 of pregnancy
Para garantizar la disponibilidad de todas las visitas, recomendamos hacer la visita entre las semanas 30 y 34 de embarazo
Who is your OBGYN or Midwife?
¿Quién es su ginecólogo o matrona?
Please select...
Arora, Anubha, MD
Helmandollar, Alyson S., MD
Keplinger, Kenneth B., MD
LaPointe, Lindsey R., MD
Menon, Sharifa A., MD
Rajendran, Geetha P., MD
Richards, Abby C., DO
Runyan, Aliya L., MD
Saint Jean, Ashanda M., MD
Sanford, Brittany, MD
Silber, Angela C., MD
Tsai, Ming C., MD
White, Desmond A., MD
Other
Please specify:
Especifíquelo
:
OBGYN or Midwife's Phone Number:
Número de teléfono del ginecólogo o partera
How did you hear about this tour?
¿Cómo se enteró de esta gira?
Please select...
Caregiver Center
Family member (miembro de la familia)
Online (en la red)
Primary Physician
Social media (redes sociales)
WMC website
Other
Please specify:
Especifíquelo:
Location
Ubicación
Please select...
Westchester Medical Center
Preferred Language
Idioma preferido
Please select...
English
Spanish
Other
Please specify
Especifíquelo
Chaplaincy Services during the tour
Servicios de capellanía durante el recorrido
Please select...
Imam
Pastor
Priest
Rabbi
Do not need chaplaincy services
Other
Please specify
Especifíquelo
Tour Date/Time
Fecha y hora de la visita
Please select...
Wednesday June 25- 10:30am
Wednesday July 23- 10:30am
Friday July 25- 10:30am
Monday August 4-10:30am
Wednesday August 6-10:30am
Monday August 11-10:30am
Wednesday August 13-10:30am
Friday August 15-10:30am
Monday August 18-10:30am
Friday August 22-10:30am
Monday August 25-10:30am
Wednesday August 27-10:30am
Friday August 29-10:30am
Wednesday September 3-10:30am
Friday September 5-10:30am
Monday September 8-10:30am
Wednesday September 10-10:30am
Friday September 12-10:30am
Monday September 15-10:30am
Wednesday September 17-10:30am
Friday September 19-10:30am
Monday September 22-10:30am
Wednesday September 24-10:30am
Friday September 26-10:30am
Monday September 29-10:30am
Wednesday October 1-10:30am
Friday October 3-10:30am
Monday October 6-10:30am
Wednesday October 8-10:30am
Friday October 10-10:30am
Monday October 13-10:30am
Wednesday October 15-10:30am
Friday October 17-10:30am
Monday October 20-10:30am
Wednesday October 22-10:30am
Friday October 24-10:30am
Monday October 27-10:30am
Wednesday October 29-10:30am
Friday October 31-10:30am
Will you bring a support person?
¿Traerá a una persona de apoyo?
Yes (Sí)
No
Who will be joining you? (
¿Quién le acompañará?
)
First name
Primer nombre
Last name
Apellido
Relationship to you
Relación con usted
Contact Information