Childbirth Education Class Sign-Up

Please register early in your pregnancy as class size is limited. Unless other arrangements have been made, payment is due 2 weeks before your class begins. Payment plans are available upon request. Rates are subject to change.

Unless otherwise indicated, classes are taught at: Rutland Area Visiting Nurse Association & Hospice, 7 Albert Cree Drive, Rutland, VT 05701.

Classes

Please check the classes you would like to attend:

Birth and Beyond ($72)
A childbirth series, taken in the last trimester, combining preparation for birth with the challenges of early parenting.

Childbirth Refresher ($36)
A review for couples who have attended previous classes

Sibling Classes ($15)
Waiting for Baby classes are designed to educate and inform new brothers and sisters. Classes are held at RRMC. Please indicate the names and ages of the attendees:
Name: -- Age:
Name: -- Age:
Name: -- Age:

Birthshop ($72)
A one-day, Saturday class offered monthly for families unable to attend the six-week course.

Tours
Tour the birthing unit at Rutland Regional Medical Center. Call 747-3688 to arrange a tour.

Breastfeeding
An overview of breastfeeding and what to consider when deciding how to feed your baby. To register, call 747-3695.

Application

ABOUT YOU

Your name:
Your phone:
Street address:
City, State, Zip:

Email address:

Date of birth:
Occupation:
Name of physician:
Expected due date:
Is this your first baby? YesNo
If not, how many children do you have?

ABOUT YOUR SUPPORT PERSON

Support person's name:
Support person's phone:
Support person's age:
Support person's occupation:

INSURANCE INFORMATION

Many insurance companies will cover the cost of childbirth classes. Please check with your insurance carrier about reimbursement. With the exception of Medicaid, we cannot bill your insurance company.

** Medicaid, Dr. Dynasaur or Primary Care Plus **

We only need your social security number if you receive Medicaid, Dr. Dynasaur or Primary Care Plus.

Your Medicaid Number:

Do you have any health concerns during this pregnancy or specific info you would like covered in class?

Once you have submitted this form, you may use the payment method on the top of the right sidebar on this page.

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