Gynaecology - Obstetrics Center - To make an appointment

• Your contact information

• Birth name *
• First name *
• Date of Birth *
• Email *
• Email *
• Phone number *

• Medical Information and Appointments

  Our obstetricians want to monitor pregnancies at least for the 3rd trimester
• Date your last period started *
  or
  Date of the beginning of your pregnancy  *
• From what date would you like this first appointment? *
• Possible preference, we strive to respond to the extent that the management of our schedules allows.
  weekday No matter Monday Tuesday Wednesday Thusday Friday Saturday time slot
  Early Morning   Late Morning
  Early Afternoon   Late Afternoon
• Would you also like an ultrasound follow-up? * Yes No
  from which date?

  1st trimester   2nd trimester
  3rd trimester
  
• Name of the doctor(s) you wish to consult for your pregnancy Dr Martin Baujat Dr Donatien Blais Dr Jérôme Capdet Dr Marie Cavaignac Dr Nathalie Céré Dr Marie Mas-Calvet Dr Marie-Hélène Meynié-Plume Dr Eric Ortal Dr Marc Périneau Dr Caroline Simon Toulza Dr Olivier Thiebaugeorges Not listed
• If he is not available, do you agree to see another doctor, at least for this first appointment? Yes No
• Commentaire

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