Introductory Session Registration Form
Pre-registration is required to attend an Introductory Session. Registration will be confirmed via email.
Sign in to Google to save your progress. Learn more
Woman's Name
Date of Birth *
MM
/
DD
/
YYYY
Man's Name *
If single, type "single."
Address *
Email Address *
Phone Number *
How did you hear about Olive Branch FertilityCare Center? *
Primary Care Provider or OB/GYN *
Date of Last PAP Smear *
I'm Interested in the Following Introductory Session *
Reproductive Category *
Regular Cycles, Long Cycles, Post-Pill, Postpartum, Breastfeeding, Pre-menopause, Infertility, Other
Questions Regarding Creighton Model or Introductory Session
Important Information - Please Read Before Submitting Form
Learning the CREIGHTON MODEL FertilityCare™ System begins with a one-hour group introductory session which explains the scientific foundations, methodology, application to various reproductive categories, how to make observations, and how to keep a chart. You will gain an even deeper understanding at individualized, private follow-up sessions.

After learning to chart according to the CREIGHTON MODEL Fertility Care™ System, the new women’s reproductive health science, NaProTECHNOLOGY, can be applied to correct many reproductive health problems.

After the Introductory Session you will have individualized follow-up sessions. Each Session is about 60 minutes.

To adequately and confidently learn the system, the recommended follow-up schedule is 2, 4, 6, 8, 12 weeks, and then 6, 9, and 12 months from the Intro Session. (Total of 8 sessions in a year). It is highly recommended that couples attend the Introductory Session and Follow-ups together.

The CREIGHTON MODEL FertilityCare™ System may not be learned adequately without follow up with a FertilityCare Practitioner. Therefore, materials may not be purchased without scheduled follow-up appointments. Materials must be returned if follow-ups discontinue before the 3rd follow-up, and a partial refund may be given.

As a courtesy to your FertilityCare Practitioner and other clients, you must provide at least 48 hours notice if you need to reschedule your follow-up appointment. If you fail to provide this 48-hour notice, a $20 rescheduling fee will be assessed.

Fees for FertilityCare Services

The CREIGHTON MODEL FertilityCare™ System consists of 1 year of teaching:
FertilityCare Service Fees as of February 2023

• Introductory Sessions are $30 (unless sponsored by a marriage prep program)

• $30 for the New Client Set-up Fee - includes 1 year of charting materials

• $50 per follow-up session (8 in the first year)

• The Full Program may be purchased upfront for $425
(includes new client set-up fee, materials, and first 8 follow-up appointments)

Scholarships are available to assist women and couples with the cost of learning the CREIGHTON MODEL FertilityCare™ System.  If you are interested in receiving a scholarship, contact Kajda Downs, CFCP (kajdaruth@hotmail.com) for more information.
I Have Read the Above Information *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms