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Prenatal Classes
(Optum, formerly Riverside)

Occurs virtually from 9 a.m. – 12 p.m.

Fields marked with an asterisk ^* are required.

First Name ^*

Last Name ^*

Email address ^*

Phone number ^*

City ^*

State ^*

Zip Code ^*

Class date requested (MM/DD/YYYY) ^*

OB/Gyn ^*

Due date (MM/DD/YYYY) ^*

Delivering Hospital ^*

How did you hear about the class?

^*by sending message, I consent to use of unencrypted email see more

I understand that I am sending an unencrypted email message to Optum. I acknowledge and understand that unencrypted email messages are not protected, and that there is a risk of a violation of my privacy, which may include my personally identifiable health information being accessed or viewed by an unintended third party while in transit or when stored on an electronic device, or by hacking or some other means.

I acknowledge that email messages may be inadvertently sent to the wrong email address and may be subject to technical malfunctions. Therefore, I understand that email message delivery is not guaranteed. I understand and acknowledge that Optum has no responsibility for the content of my email if I happen to misplace my device, if someone views my email messages, or if my device is stolen. I understand that the email messages will be delivered across the networks of various third parties (such as Apple, Verizon, Sprint, etc.), and Optum makes no representations or warranties regarding the quality, reliability, timeliness or security of such third party networks, or their services or equipment.

Despite the risks, I am authorizing Optum to communicate with me via email, including by exchanging personally identifiable health information.

I understand that I am responsible for notifying Optum in writing if I choose to discontinue email communications or if my email address changes.