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Labor & Delivery

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Pregnancy & Parenting E-Newsletter

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Labor & Delivery Pre-Registration Form

Please note your insurance plan may require a co-payment, co-insurance or deductible. Your payment will be requested at the time of your visit. Rex Healthcare accepts cash, personal checks and most major credit cards.
* Denotes required fields

General Information

* Do you have a Preadmission Testing Date?

Expectant Mother's Information

Employer's Information

Guarantor's Information

* Guarantor (Person Financially Responsible)
* Gender

Emergency Contact Information

General Care Information

Pregnancy and Parenting Classes

Explore our catalog of classes designed to help you with all aspects of pregnancy, delivery and returning to life at home. Register for a class today!

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