Westchester Medical Center
Labor & Delivery
Birthing Tour
Visita de partos
Personal Information (
Información personal
)
First Name
Primer nombre
Last Name
Apellido
Date of Birth
Fecha de nacimiento
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 January 14-10:30am
Wednesday January 21-10:30am
Friday January 23-10:30am
Monday January 26-10:30am
Wednesday January 28-10:30am
Friday January 30-10:30am
Monday February 2-10:30am
Wednesday February 4-10:30am
Monday February 9-10:30am
Wednesday February 11-10:30am
Friday February 13-10:30am
Wednesday February 18-10:30am
Friday February 20-10:30am
Monday February 23-10:30am
Wednesday February 25-10:30am
Friday February 27-10:30am
Monday March 2-10:30am
Wednesday March 4-10:30am
Monday March 9-10:30am
Wednesday March 11-10:30am
Friday March 13-10:30am
Monday March 16-10:30am
Wednesday March 18-10:30am
Friday March 20-10:30am
Monday March 23-10:30am
Wednesday March 25-10:30am
Friday March 27-10:30am
Monday March 30-10:30am
Wednesday April 1-10:30am
Monday April 6-10:30am
Wednesday April 8-10:30am
Friday April 10-10:30am
Monday April 13-10:30am
Wednesday April 15-10:30am
Friday April 17-10:30am
Monday April 20-10:30am
Wednesday April 22-10:30am
Friday April 24-10:30am
Monday April 27-10:30am
Wednesday April 29-10:30am
Monday May 4-10:30am
Wednesday May 6-10:30am
Friday May 8-10:30am
Monday May 11-10:30am
Wednesday May 13-10:30am
Friday May 15-10:30am
Monday May 18-10:30am
Wednesday May 20-10:30am
Friday May 22-10:30am
Wednesday May 27-10:30am
Friday May 29-10:30am
Monday June 1-10:30am
Wednesday June 3-10:30am
Monday June 8-10:30am
Wednesday June 10-10:30am
Friday June 12-10:30am
Monday June 15-10:30am
Wednesday June 17-10:30am
Friday June 19-10:30am
Monday June 22-10:30am
Wednesday June 24-10:30am
Friday June 26-10:30am
Monday June 29-10:30am
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