Mommy & Me Baby Shower

Baby Shower Interest Form

Please fill out this form and click SUBMIT to have a Health Educator call you to register for a Healthy Expectations Maternity Program Mommy and Me Baby Shower. You have the option to attend virtually or in person. In-person showers include breakfast. We also host showers in Spanish for our Spanish-speaking Members.

Step 1 of 3

Comments
This field is for validation purposes and should be left unchanged.
1. Are you a current Member of Community First Health Plans?*
Thank you for your interest in attending a Mommy & Me Baby Shower. At this time, this event is open to Community First Members only. Please visit the link to learn more about Community First, how you can obtain health care coverage, and review the health plans we offer.
2. Are you currently enrolled in our Healthy Expectations Maternity Program?*
Thank you for your interest in our Mommy & Me Baby Showers. To attend, you must be in enrolled in our Healthy Expectations Maternity Program. Please call 210-358-6055 to speak with a Health Educator or click here to enroll.
Are you a Traveling Farmworker?*
Definition: Traveling farmworkers move to another area or establish a temporary home to work in agriculture/farming.

Baby Shower Date
Each baby shower has a limited amount of spots available. Please select a first choice and second choice for the dates you wish to attend.
Date of Baby Shower (First Choice)*
Date of Baby Shower (Second Choice)*
Baby Items
If attending a virtual baby shower, items must be picked up on the date of the baby shower, between 12:30 p.m. and 2:30 p.m. at the following location: Community First Health Plans
12238 Silicon Drive, Suite #100
San Antonio, TX 78249
Please select one of the following items you would like to recieve:*
Member Information
Name*
First Last
Date of Birth*
Month
Day
Year
Health Plan Name*
Member ID #*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*
Email*

Expected Due Date*
Month
Day
Year

Family Information
Please enter the name and date of birth of any children you have who are current Community First Health Plan Members only. Please indicate whether each child is verified current with a Texas Health Steps or well-child checkup.
Child Name
Date of Birth
Month
Day
Year
Is your child verified current with their Texas Health Steps or CHIP Well-Child Medical Checkup?
Child Name
Date of Birth
Month
Day
Year
Is your child verified current with their Texas Health Steps or CHIP Well-Child Medical Checkup?
Child Name
Date of Birth
Month
Day
Year
Is your child verified current with their Texas Health Steps or CHIP Well-Child Medical Checkup?
Child Name
Date of Birth
Month
Day
Year
Is your child verified current with their Texas Health Steps or CHIP Well-Child Medical Checkup?
Child Name
Date of Birth
Month
Day
Year
Is your child verified current with their Texas Health Steps or CHIP Well-Child Medical Checkup?