New Client Inquiry

Thank you for your interest in Sage Femme Midwifery. Please share some of your information with us so we can contact you to set up a complimentary consultation. Due to the nature of the practice, it may be several days before you hear back from the Midwife.

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Name*
Date of Birth*
Last Menstrual Period Start Date
Estimated Due Date (if known)
Home Address
I was referred by

Insurance
My insurance coverage is (Initial pre-conception and pregnancy consultations are complimentary. In-network insurance companies are billed directly for GYN visits. If your plan is out-of-network, payment is due at the time of the appointment. We are in-network with CDPHP and BSNENY. )

Facebook
Do you have Facebook access? (If so, always check the Sage Femme Midwifery page before leaving home for an appointment. If most recent post is "Off a birthin", your appointment is cancelled and you will be contacted to reschedule. If you do not have access to FB, you will be contacted by phone or email if your appointment is cancelled.)
Preferred Office
All initial preconception and pregnancy consultations are held at the Albany office. Future appointments are held at one of the following offices. The offices are child-friendly. Which office is your preference?
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