Childbirth Preparation Class - Abrazo West Campus
It is an honor to be a part of this special time in your life. At Abrazo West Campus, we offer an express Childbirth Preparation class to prepare you and your birthing support partner on what to expect during your labor, delivery, and postpartum experience. Each class also includes a tour of our Labor & Delivery, Special Care Nursery, and Postpartum units.
Please only enroll the mother to be.
NOTE: A credit card is required to register for this class online. If you would like to register for this class using a different payment method, please call (877) 934-9355 to register.
Based on your location, this form is not available. To better assist you in your healthcare needs, please call (210) 297-7000.
<survey><openingText>Thank you for your interest in Abrazo Health Mother and Newborn Care Classes and Tours.</openingText><closingText>Thank You</closingText><webHeader></webHeader><webFooter></webFooter><displayOpening>Yes</displayOpening><surveyLines><line><link>850</link><question>What is your due date?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>Yes</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>No</codeResponse></line><line><link>851</link><question>What hospital are you delivering at?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>Yes</codeResponse><codeOptions><option><code>1451</code><description>Abrazo Arrowhead Campus (Formerly Arrowhead Hospital)</description><skipToLink>856</skipToLink></option><option><code>1452</code><description>Abrazo Maryvale Campus (Formerly Maryvale Hospital)</description><skipToLink>856</skipToLink></option><option><code>1453</code><description>Abrazo Scottsdale Campus (Formerly Paradise Valley Hospital)</description><skipToLink>856</skipToLink></option><option><code>1454</code><description>Abrazo Central Campus (Formerly Phoenix Baptist Hospital)</description><skipToLink>856</skipToLink></option><option><code>1455</code><description>Abrazo West Campus (Formerly West Valley Hospital)</description><skipToLink>856</skipToLink></option><option><code>1456</code><description>Other</description><skipToLink>858</skipToLink></option><option><code>1457</code><description>Undecided</description><skipToLink>856</skipToLink></option></codeOptions></line><line><link>858</link><question>If Other, What is the hospitals name you are delivering at?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>Yes</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>No</codeResponse></line><line><link>856</link><question>What is the name of your OBGYN?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>Yes</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>No</codeResponse></line><line><link>852</link><question>Will you be attending with a partner/coach?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>Yes</codeResponse><codeOptions><option><code>1458</code><description>Yes</description><skipToLink>857</skipToLink></option><option><code>1459</code><description>No</description><skipToLink>853</skipToLink></option></codeOptions></line><line><link>857</link><question>What is your partner/coach's name?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>Yes</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>No</codeResponse></line><line><link>853</link><question>Do you have AHCCCS Insurance?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>Yes</codeResponse><codeOptions><option><code>1460</code><description>Yes</description><skipToLink>855</skipToLink></option><option><code>1461</code><description>No</description><skipToLink>854</skipToLink></option></codeOptions></line><line><link>854</link><question>How did you hear about our Mother and Newborn Care Classes and Tours?</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>Yes</codeResponse><codeOptions><option><code>1462</code><description>Doctor</description></option><option><code>1463</code><description>Email</description></option><option><code>1464</code><description>Flyer</description></option><option><code>1465</code><description>Friend/Family</description></option><option><code>1466</code><description>Magazine</description></option><option><code>1467</code><description>Newspaper</description></option><option><code>1468</code><description>Postcard</description></option><option><code>1469</code><description>Website</description></option><option><code>1470</code><description>Other</description></option></codeOptions></line><line><link>855</link><question>(NOTE: DISREGARD THIS IF YOU ARE ENROLLING FOR A TOUR)
Since you have AHCCCS, please call Jennifer Nowlin to enroll and for class fees at (623) 882-1903. DO NOT ENROLL IF PATIENT HAS AHCCCS.</question><prompt></prompt><internetable>Yes</internetable><required>Yes</required><dateResponse>No</dateResponse><numberResponse>No</numberResponse><noteResponse>No</noteResponse><checkboxResponse>No</checkboxResponse><codeResponse>Yes</codeResponse><codeOptions><option><code>1471</code><description>OK</description></option></codeOptions></line></surveyLines></survey>