On-Line Pregnancy Help

Pregnant? Think you might be? Don't know what to do? No matter what your age, background, race, or religion, we're here to help. If you are facing a crisis pregnancy you are welcome to contact our center. A counselor will respond to your message via e-mail as soon as possible. All information submitted here is confidential (no one outside of our center will have access to your information). If you prefer to speak to someone in person, call us at (270) 527-4111, or outside of the area call 1-800-395-1795. We care!

Tell Us About Yourself

Name: (Last name optional)
Female
  Male    Your Age:    Marital Status:
E-mail address:
(Required!)
City:
(Include nearest major town, if rural.)
State:
   

Medical Information
First Day of Last Menstrual Period: (MM/DD/YY) (Important!)
Have you had a positive pregnancy test?  YES
  NO
-Were you using any birth control when you think you/she might have gotten pregnant?
If so,  what kind?

-Have you been pregnant before? (Males: have you been involved in an unplanned pregnancy
  before?) If so, how many times and what was the outcome?

What are your plans, if pregnant?
  Parent 
  Abortion    Adoption    Unsure    N/A 

Your Message

"I really need information about..." (check all that apply):
    
How can I tell if I'm pregnant?
    
Where to go for crisis pregnancy help
    
My unborn child
    
Staying healthy during pregnancy
    
Single parenting
    
Abortion
    
Adoption
    
Prenatal testing

Please let us know about your situation, your support system (if any), boyfriend/partner, any questions you have, and how our center can be of assistance.   
 If you live in the area and would like a counselor to call you about your situation,
please provide your phone number.