FertilityCare Center of Kansas City
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
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 Private introductory session
This form is to be used for those interested in scheduling a private, individual introductory session. Please note that there is an additional cost for selecting this option.
After registering online, the Practitioner will contact you by email to set up your appointment. You may contact the Center by
email
or phone (816-858-0198) with any further
questions.
This session will be held via ZOOM.
The teaching of the Creighton Model system consists of an initial 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 an individual Introductory Session is
$55.
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
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
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?
*
If intro is already scheduled, with who and when?
*
Comments
*
Submit