FertilityCare Center of Kansas City
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The Creighton Model System
Practitioners
Introductory Sessions
How Can Creighton Help?
Engaged Couples
Hormone-Free Family Planning
Infertility
Single Women
What's NaproTechnology?
Testimonials
What to Expect
Area NaPro Physicians
For Men
FAQs
Other Resources
Contact Us
Support Us
Order Supplies
FertilityCare Practitioner Training
Home
About
The Creighton Model System
Practitioners
Introductory Sessions
How Can Creighton Help?
Engaged Couples
Hormone-Free Family Planning
Infertility
Single Women
What's NaproTechnology?
Testimonials
What to Expect
Area NaPro Physicians
For Men
FAQs
Other Resources
Contact Us
Support Us
Order Supplies
FertilityCare Practitioner Training
FertilityCare Center of Kansas City
Registration for Introductory Session at Coronation of our lady
Introductory Sessions at this location are at 10:00 am.
The teaching of the Creighton Model system consists of an initial group introductory session and subsequent one-on-one follow-up sessions with a FertilityCare Practitioner. Please allow
up to 90 minutes
for the initial session.
The cost of the Introductory Session is $40
. More information on cost and follow up schedule can be found
here
. A sliding scale is available if needed.
Please note that signing up online gives us permission to contact you via email.
*
Indicates required field
Location
*
Coronation of Our Lady
DATE
*
November 23rd, 2024
Name of Participant #1
*
First
Last
Name of Participant #2
*
First
Last
Fill in participant #2 only if applicable.
Marital Status
*
Engaged
Single
Married
Other (please specify below)
Woman's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Man's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Woman's Age
*
Man's Age
*
Woman's Religion
*
Catholic
Protestant
Jewish
Muslim
Other
Man's Religion
*
Catholic
Protestant
Jewish
Muslim
Other
Woman's Phone Number
*
Email
*
Referral Source
*
Church
Friend
Medical Person
Media
Brochure
Family
Dr. Laurie Heap
ARE YOU PART OF THRIVE?
*
NO
YES
Option 3
Reason for Attending
*
Required for Marriage
Reproductive Problems
Infertility
To Achieve Pregnancy, normal fertility
To Avoid Pregnancy
Learn About Fertility
Health Reasons
Moral Reasons
Other
If Engaged, when & where is your wedding?
*
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