Prenatal Consult Request Form

request prenatal consultation

Prenatal Consult Request Form

Please allow two business days, Monday – Friday between the hours of 8:00AM to 5:00PM to receive a return call to confirm an appointment time. Please do not send any medical information or questions. If you have any medical concerns, please call our office at 402-465-5600.

Please complete our form to request a prenatal consult with one of our physicians.

By submitting this form, you agree to our Terms of Use. All data submitted is protected and secured using the highest standards required under HIPAA.


3262 Salt Creek Circle, Lincoln, NE 68504
4020 Hohensee Drive, Lincoln, NE 68516
8201 Northwoods Drive, Lincoln, NE 68505
1336 West A St, Suite B Lincoln, NE 68522


Office/Phone Hours
8:00 am to 5:00 pm Monday - Friday
9:30 am to 3:30 pm - Saturday
9:30 am to 1:30 pm - Sunday

Clinic Hours
8:45 to 4:30 Monday - Friday

Evening/Weekend Clinic Hours
West A Location Only
Sick visits only, appointments required
Monday - Thursday starting at 5:30
Saturday 9:00 am - 4:00 pm
Sunday 10:00 am - 2:00 pm