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Consultations
Use this form to securely begin your consultation with Dr Lexi, powered by Ouma Health. Upon submitting this form you will receive an email to schedule an intake visit followed by your consultation.
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Please confirm this email is accurate. Upon submitting this form, we will send an email with a link to schedule an appointment with Ouma using this email address.
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Patient Intake
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Patient Intake
What is the reason for the consultation?
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Number of Pregnancies
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Link to Records
Link to Records
If you have a Box link to patient records for us to review, paste the URL here. Please make sure this is externally accessible beforehand.
Any additional information you would like us to know
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MFM Consultation
You will first be contacted by an Ouma nurse for your initial intake before meeting with your Maternal-Fetal Medicine specialist.
$
300.00
Payment Methods
Credit Card
Apple Pay
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Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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