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First Steps

Preparing to Welcome a Miracle

Noyes First Steps is a prenatal support program that serves pregnant women.

Noyes First Steps Brochure

Noyes First Steps is a prenatal support program. It offers services that ensure women have medical insurance for prenatal care services and access to proper medical care during their pregnancy and following the birth of their baby. To make an appointment or for more information, please call (585) 335-4249 or email

Noyes First Steps provides health support services for pregnant women, particularly those eligible for, or needing to apply for Medicaid. This expanded Medicaid program offers prenatal healthcare, education, and support services during your pregnancy. After your enrollment interview, if you are eligible, Medicaid will pay for hospital inpatient care and medical care for up to 60 days after birth.

You could be eligible for medical coverage the day you apply, and your baby could be eligible for medical coverage until he or she is one year old.

Do You Have Questions About Pregnancy?

The staff at Noyes First Steps will make you feel comfortable as they share their knowledge about pregnancy and answer your special needs. You’ll gain the knowledge and confidence needed to have a healthy pregnancy.

Please bring the following information with you to your enrollment interview:

  • Your original birth certificate
  • A statement from your doctor verifying pregnancy and expected date of birth
  • Any unpaid medical bills from the past three months
  • Health insurance card or Medicaid card, if you have one
  • Proof of age if under 21
  • Proof of all income, four consecutive weeks of recent paycheck stubs
  • Proof of residency, such as a rent receipt, driver's license, letter from your landlord, or utility bill in your name
  • Social Security numbers for children applying for Medicaid and birth certificates

The Noyes first steps staff will assist you with:

  • Obtaining medical services and/or insurance for you and your baby.
  • Connections with physicians, as needed.
  • Prenatal health education: nutrition, exercise, premature labor prevention, labor and delivery.
  • Confidential HIV counseling.
  • Free Classes: Childbirth and Infant Feeding.
  • Referrals to other services and agencies as needed.
  • Advocacy with DSS and other service providers.
  • Assistance and information on housing transportation, and other needs.
  • Individual and family concerns.
  • Assistance with paternity and custody issues.
  • Car Seat Safety Program for infant car seats.

Why are these services important?

  • To ensure women have healthy babies.
  • To help identify and work towards overcoming obstacles that may prevent a healthy pregnancy.
  • To maximize a child’s healthy start in life.

We know that privacy is important to you. All information you provide to this office is considered strictly confidential.