Resources

If you are in need of maternity, baby or toddler items, please complete the form below and someone from our team will reach out to you to see how we can best assist you!

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Preferred Location

Richardson

Southwest Dallas

First Name

Middle Name

Last Name

Date of Birth

Sex

Phone Number

Email Address

Street Address

Address Line 2

City

State

Zip Code

How did you hear about us?

Are you currently pregnant? If yes, what is your due date?

Do you currently have medical insurance?

Referred by (if applicable)

Marital Status

Current Employment

Occupation

Length of Employment (days, months, years)

Monthly Income (including overtime/commissions)

Partner's First Name

Partner's Last Name

Partner's Date of Birth

Partner's Sex

Partner's Occupation

Partner's Current Employment

Partner's Length of Employment

Partner's Monthly Income (including overtime and commissions)

Please list any of you and your partner's children/dependents (child's first and last name, DOB, sex, and relationship to applicant).

Do you receive other family income? If yes, how much per month?

Do you receive food stamps? If yes, how much per month?

Do you receive unemployment? If yes, how much per month?

Do you receive workers compensation? If yes, how much per month?

Do you receive social security income? If yes, how much per month?

Do you receive child support? If yes, how much per month?

Please briefly tell us what type of help you are needing:

Have you applied for WIC?

Were you approved for WIC?

Have you applied for Medicaid?

Were you approved for Medicaid?

Have you applied to any other non-governmental agencies or churches for assistance? If yes, who? Was assistance granted?

Have you previously applied to Prestonwood Pregnancy Center for assistance?

Statement before submitting

Family Resouce Center

The FRC provides ongoing support for women and their families. Click here to learn more about our rewards program for opportunities to shop in our boutique.

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Classes

We offer in-person and online classes to set you up for success.

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Blog

Explore our blogs for helpful health tips, insightful resources, and information about our services.

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FAQ

Find answers to our most commonly asked questions!

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Hear From those we’ve Served

Grateful For The Services

“They have been so helpful from the moment I found out I was pregnant. I’m very grateful for the services and classes they provide.”

Kendra
February 17, 2025

Peaceful Atmosphere

“A really nice, helpful, and peaceful atmosphere. The staff is always kind, caring, and consistent.”

Shelby
February 17, 2025

Incredibly Helpful

“This is one of the best places to go when in need, especially their clinic, which was incredibly helpful.”

Cristine
February 17, 2025

Sonogram

“I arrived at Prestonwood [Pregnancy Center] feeling completely nervous, but the staff was so welcoming from the moment I walked through the door. From my consultation to my sonogram, I was overwhelmed by the amount of helpful information and support I received. I walked out feeling reassured and ready for my new journey.”

Chelsea
February 14, 2025

Wonderful Staff

“The staff here are truly wonderful, friendly, welcoming, and supportive every step of the way. It was a pleasure speaking with Earl, who made me feel like family. I’m so grateful I chose this place!”

Mark
July 26, 2021

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Take the next step in safeguarding your health by scheduling an appointment at Prestonwood Pregnancy Center.

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