Contact Contact Lisa Preller CNM, LMEmailPhone518.250.9195Fax518.734.0087Address2 Normanskill Blvd, Suite 206, Delmar, NY 12054FacebookInstagram Name(Required) First Last Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Required to generate patient portalCurrent Insurance Carrier(Required) Previous patient of Lisa Preller?(Required) Yes No How did you hear about Lisa and Empowered Midwifery Care PLLC?(Required) Are you seeking gynecologic care?(Required) Yes No Are you in need of an upcoming annual exam?(Required) Yes No What is the date of your last annual exam?(Required) MM slash DD slash YYYY Are you pregnant?(Required) Yes No Date of first day of last period MM slash DD slash YYYY Are you looking to transfer and, if so, what are the reasons for considering transfer of care? Please describe your previous pregnanciesPlease tell us a little bit about your deliveries (if applicable)Is there any additional information you would like me to know?