First Trimester Classes Registration & Interest Form
Thank you for your interest in our first trimester class. This form is used to register for upcoming sessions and help us prepare for your attendance. The class is offered as a 1-hour session on the second Wednesday of each month from 5 p.m. - 6 p.m. in the Port Room, on the second floor of the medical office building. The address is 4810 S Croatan Hwy, Nags Head, NC 27959. If you have any questions or special needs, please email emma.mcclain@outerbankshealth.org.
Name
*
First Name
Last Name
Partner's Name (if attending)
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Estimated Due Date
*
-
Month
-
Day
Year
When are you expecting your baby?
The class is offered as a 1-hour session on the second Wednesday of each month from 5 p.m. - 6 p.m. It is recommended to complete the class prior to your 12-week visit.
*
January 14
February 11
March 11
April 8
May 13
June 10
July 8
August 12
September 9
October 14
November 11
December 9
What topics are you most interested in learning about?
*
Nutrition during pregnancy
Exercise and activity
Prenatal appointments
Warning signs and when to call
Other
Do you have any specific topics or questions you'd like covered?
Let us know your interests or concerns so we can tailor the sessions.
How did you hear about the class?
Healthcare Provider
Hospital Website
Social Media
Flyer
Friend or Family
Other
Submit
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