My first appointment was a lot of questions (about mine and DH's history), she asked us what hospitals we were considering, and sent me for blood work--didn't even do a urine test. She also asked us about the triple testing (which we turned down, but I think it has to be done pretty early one, before second tri if you are going to get it done), and made sure I was taking the supplements I need to take. I don't think that there really is much that they can do at this point--but it's still good to go so you can ask any questions you want, etc.