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
:
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...
Friday March 21-10:30am
Monday March 24-10:30am
Wednesday March 26-10:30am
Friday March 28- 10:30am
Monday March 31- 10:30am
Wednesday April 2-10:30am
Friday April 4-10:30am
Monday April 7- 10:30am
Wednesday April 9- 10:30am
Friday April 11- 10:30am
Monday April 14- 10:30am
Wednesday April 16- 10:30am
Friday April 18- 10:30am
Monday April 21- 10:30am
Wednesday April 23- 10:30am
Friday April 25- 10:30am
Monday April 28- 10:30am
Wednesday April 30- 10:30am
Friday May 2- 10:30am- 10:30am
Monday May 5- 10:30am
Wednesday May 7- 10:30am
Friday May 9- 10:30am
Monday May 12- 10:30am
Wednesday May 14- 10:30am
Friday May 16- 10:30am
Monday May 19- 10:30am
Wednesday May 21- 10:30am
Friday May 23- 10:30am
Monday May 26- 10:30am
Wednesday May 28- 10:30am
Friday May 30- 10:30am
Monday June 2-10:30am
Wednesday June 4- 10:30am
Friday June 6- 10:30am
Monday June 9- 10:30am
Wednesday June 11- 10:30am
Friday June 13- 10:30 am
Monday June 16- 10:30am
Wednesday June 18- 10:30am
Friday June 20- 10:30am
Monday June 23- 10:30am
Wednesday June 25- 10:30am
Friday June 27- 10:30am
Monday June 30- 10:30am
Wednesday July 2- 10:30am
Monday July 7-10:30am
Wednesday July 9-10:30am
Friday July 11- 10:30am
Monday July 14- 10:30am
Wednesday July 16- 10:30am
Friday Jully 18- 10:30am
Monday July 21- 10:30am
Wednesday July 23- 10:30am
Friday July 25- 10:30am
Monday July 28- 10:30am
Wednesday July 30- 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