Center for Healthier Communities

Improving the health and well-being of our region’s children.

Obstetric Offices:
Prenatal Survey/Fax Referral Forms

Prenatal Surveys are customized for each office; scroll down to find your office in the list and download the approprate survey (English and Spanish are combined into one 2-page document).
 

In This Section

• A Lady's Doctor

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• Alvarado Women's Group

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• California Women's Medical Clinic

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• Chula Vista Family Clinic

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• Clinica De La Mora

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• Clinica Internacional Buena Salud Inc.

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• Family Medical Center

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• Gateway OB

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• Grossmont Hospital Prenancy Services

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• IGO Medical Group

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• Imperial Valley Women's Clinic

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• La Maestra Family Clinic, Inc.

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• La Maestra-El Cajon

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• La Maestra-Lemon Grove

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• La Maestra-National City

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• Linda Vista Health Care Center

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• MCAS Miramar Women's Health Navy Branch

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• Mid-City Community Clinic

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• National City Family Clinic

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• Naval Medical Center San Diego-OB/GYN Department

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• NCHS Encinitas

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• NCHS Mission Mesa

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• NCHS Oceanside

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• NCHS Ramona

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• NCHS San Marcos

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• NTC Women's Health Clinic, CNM Service

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• Office of Dr. Alanis-Amezcua (Jose)

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• Office of Dr. Bulow (Seth)

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• Office of Dr. Chang (Helen)

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• Office of Dr. Cunningham (Chrysten)

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• Office of Dr. David (Anna)

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• Office of Dr. Diego Mendez

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• Office of Dr. Goicoechea (Frank)

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• Office of Dr. Goldstein (Paul)

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• Office of Dr. Levine (Mauricio)

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• Office of Dr. Petersen (Sandra)

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• Office of Dr. Wong (Michael)

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• Operation Samahan-Mira Mesa

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• Operation Samahan-National City

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• Otay Family Health Center

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• Pacific Coast Women's Health

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• Paradise Hills Family Clinic

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• PHN Central Region Public Health Center

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• PHN East Region Public Health Center

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• PHN North Central Public Health Center

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• PHN North Coastal Public Health Center

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• PHN North Inland Public Health Center

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• PHN South Region Public Health Center

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• San Ysidro Health Center

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• Scripps Clinic Encinitas-OB/GYN Department

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• Scripps Clinic La Jolla-OB/GYN Department

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• Scripps Clinic Mission Valley-OB/GYN

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• Scripps Clinic OB-GYN La Jolla Campus

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• Scripps Clinic Rancho Bernardo

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• Scripps Clinic Rancho San Diego

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• SRS Central

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• SRS Del Mar

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• SRS Grossmont Medical Plaza

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• SRS Mira Mesa

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• SRS Otay Ranch

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• SRS Scripps Ranch

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• UCSD Community Women's Health Program at Comprehensive Health Center

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• UCSD Reproductive Medicine

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• UCSD Women's Services Hillcrest Clinic

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• Unique Healthcare for Women

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• Women's Health Care

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• _New Office Prenatal Survey/Fax Referral Form

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