EXHIBIT 4.14a


THIS WARRANT AND THE SHARES OF COMMON STOCK ISSUABLE UPON EXERCISE HEREOF HAVE
NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE
"SECURITIES ACT") OR ANY STATE SECURITIES LAWS AND MAY NOT BE SOLD, TRANSFERRED
OR OTHERWISE DISPOSED OF UNLESS REGISTERED UNDER THE SECURITIES ACT AND UNDER
APPLICABLE STATE SECURITIES LAWS OR INTEGRAMED AMERICA, INC. SHALL HAVE RECEIVED
AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO INTEGRAMED THAT REGISTRATION OF
SUCH SECURITIES UNDER THE SECURITIES ACT AND UNDER THE PROVISIONS OF APPLICABLE
STATE SECURITIES LAWS IS NOT REQUIRED.


                               WARRANT TO PURCHASE

                             SHARES OF COMMON STOCK

                                       OF

                            INTEGRAMED AMERICA, INC.


                            Expires January 30, 2006

No.: W-__                                            Number of Shares: _________
Date of Issuance: July30, 2002


         FOR VALUE RECEIVED, subject to the provisions hereinafter set forth,
the undersigned, IntegraMed America, Inc., a Delaware corporation (together with
its successors and assigns, the "Issuer"), hereby certifies that
________________________________ or its registered assigns is entitled to
subscribe for and purchase, during the period specified in this Warrant, up to
____________________________ (__________) shares (subject to adjustment as
hereinafter provided) of the duly authorized, validly issued, fully paid and
non-assessable Common Stock of the Issuer, at an exercise price per share equal
to the Warrant Price then in effect, subject, however, to the provisions and
upon the terms and conditions hereinafter set forth. Capitalized terms used in
this Warrant and not otherwise defined herein shall have the respective meanings
specified in Section 10 hereof.

         1.   Term. The right to subscribe for and purchase shares of Warrant
Stock represented hereby shall commence on January 31, 2003 and shall expire at
5:00 p.m., eastern time, on January 30, 2006 (such period being the "Term").

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         2.   Method of Exercise Payment; Issuance of New Warrant; Transfer and
Exchange.

         (a) Time of Exercise. The purchase rights represented by this Warrant
may be exercised in whole or in part at any time and from time to time during
the Term.

         (b) Method of Exercise. The Holder hereof may exercise this Warrant, in
whole or in part, by the surrender of this Warrant (with the exercise form
attached hereto duly executed) at the principal office of the Issuer, together
with the payment to the Issuer of an amount of consideration therefor equal to
the Warrant Price in effect on the date of such exercise multiplied by the
number of shares of Warrant Stock with respect to which this Warrant is then
being exercised, payable at such Holder's election (i) by certified or official
bank check or by wire transfer to an account designated by the Issuer (ii) in
the event the Warrant Stock is not registered on an effective Registration
Statement, or the effectiveness of such Registration Statement has been
suspended, by "cashless exercise" by surrender to the Issuer for cancellation of
a portion of this Warrant representing that number of unissued shares of Warrant
Stock which is equal to the quotient obtained by dividing (A) the product
obtained by multiplying the Warrant Price by the number of shares of Warrant
Stock being purchased upon such exercise by (B) the Per Share Market Value as of
the date of such exercise, or (iii) by a combination of the foregoing methods of
payment selected by the Holder of this Warrant. In any case where the
consideration payable upon such exercise is being paid in whole or in part
pursuant to the provisions of clause (ii) of this subsection (b), such exercise
shall be accompanied by written notice from the Holder of this Warrant
specifying the manner of payment thereof and containing a calculation showing
the number of shares of Warrant Stock with respect to which rights are being
surrendered thereunder and the net number of shares to be issued after giving
effect to such surrender.

         (c) Issuance of Stock Certificates. In the event of any exercise of the
rights represented by this Warrant in accordance with and subject to the terms
and conditions hereof, (i) certificates for the shares of Warrant Stock so
purchased shall be dated the date of such exercise and delivered to the Holder
hereof within a reasonable time, not exceeding three (3) Trading Days after such
exercise, and the Holder hereof shall be deemed for all purposes to be the
Holder of the shares of Warrant Stock so purchased as of the date of such
exercise, and (ii) unless this Warrant has expired, a new Warrant representing
the number of shares of Warrant Stock, if any, with respect to which this
Warrant shall not then have been exercised (less any amount thereof which shall
have been canceled in payment or partial payment of the Warrant Price as
hereinabove provided) shall also be issued to the Holder hereof at the Issuer's
expense within such time. The Issuer shall pay all expenses, taxes and other
charges payable in connection with the preparation, execution and delivery of
stock certificates pursuant to this Section 2(c), provided, however, the Issuer
shall not be required to pay any tax which may be payable in respect of any
transfer involved in the issue or delivery of Warrant Stock in a name other than
that of the holder of this Warrant, which taxes shall be paid by such holder.


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         (d)  Transferability of Warrant. Subject to Section 2(e), this Warrant
and all rights hereunder may be transferred by a Holder without the consent of
the Issuer. If transferred pursuant to this paragraph and subject to the
provisions of subsection (e) of this Section 2, this Warrant and all rights
hereunder may be transferred on the books of the Issuer by the Holder hereof in
person or by duly authorized attorney, upon surrender of this Warrant at the
principal office of the Issuer, properly endorsed (by the Holder executing an
assignment in the form attached hereto) and upon payment of any necessary
transfer tax or other governmental charge imposed upon such transfer. This
Warrant is exchangeable at the principal office of the Issuer for Warrants for
the purchase of the same aggregate number of shares of Warrant Stock, each new
Warrant to represent the right to purchase such number of shares of Warrant
Stock as the Holder hereof shall designate at the time of such exchange. All
Warrants issued on transfers or exchanges shall be dated the Original Issue Date
and shall be identical with this Warrant except as to the number of shares of
Warrant Stock issuable pursuant hereto.

         (e) Compliance with Securities Laws.

              (i) The Holder of this Warrant, by acceptance hereof, acknowledges
         that this Warrant or the shares of Warrant Stock to be issued upon
         exercise hereof are being acquired solely for the Holder's own account
         and not as a nominee for any other party, and for investment, and that
         the Holder will not offer, sell or otherwise dispose of this Warrant or
         any shares of Warrant Stock to be issued upon exercise hereof except
         pursuant to an effective registration statement, or an exemption from
         registration, under the Securities Act and any applicable state
         securities laws.

              (ii) Except as provided in paragraph (iii) below, this Warrant and
         all certificates representing shares of Warrant Stock issued upon
         exercise hereof shall be stamped or imprinted with a legend in
         substantially the following form:

                  THIS WARRANT AND THE SHARES OF COMMON STOCK ISSUABLE UPON
                  EXERCISE HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES
                  ACT OF 1933, AS AMENDED (THE "SECURITIES ACT") OR ANY STATE
                  SECURITIES LAWS AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE
                  DISPOSED OF UNLESS REGISTERED UNDER THE SECURITIES ACT AND
                  UNDER APPLICABLE STATE SECURITIES LAWS OR INTEGRAMED AMERICA,
                  INC. SHALL HAVE RECEIVED AN OPINION OF COUNSEL REASONABLY
                  SATISFACTORY TO INTEGRAMED THAT REGISTRATION OF SUCH
                  SECURITIES UNDER THE SECURITIES ACT AND UNDER THE PROVISIONS
                  OF APPLICABLE STATE SECURITIES LAWS IS NOT REQUIRED.


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              (iii) The restrictions imposed by this subsection (e) upon the
         transfer of this Warrant or the shares of Warrant Stock to be purchased
         upon exercise hereof shall terminate (A) when such securities shall
         have been resold pursuant to an effective registration statement under
         the Securities Act, (B) upon the Issuer's receipt of an opinion of
         counsel, in form and substance reasonably satisfactory to the Issuer,
         addressed to the Issuer to the effect that such restrictions are no
         longer required to ensure compliance with the Securities Act and state
         securities laws or (C) upon the Issuer's receipt of other evidence
         reasonably satisfactory to the Issuer that such registration and
         qualification under the Securities Act and state securities laws are
         not required. Whenever such restrictions shall cease and terminate as
         to any such securities, the Holder thereof shall be entitled to receive
         from the Issuer (or its transfer agent and registrar), without expense
         (other than applicable transfer taxes, if any), new Warrants (or, in
         the case of shares of Warrant Stock, new stock certificates) of like
         tenor not bearing the applicable legend required by paragraph (ii)
         above relating to the Securities Act and state securities laws.

         (f) Continuing Rights of Holder. The Issuer will, at the time of or at
any time after each exercise of this Warrant, upon the request of the Holder
hereof, acknowledge in writing the extent, if any, of its continuing obligation
to afford to such Holder all rights to which such Holder shall continue to be
entitled after such exercise in accordance with the terms of this Warrant,
provided that if any such Holder shall fail to make any such request, the
failure shall not affect the continuing obligation of the Issuer to afford such
rights to such Holder.

        3.  Stock Fully Paid; Reservation and Listing of Shares; Covenants.
            --------------------------------------------------------------

         (a) Stock Fully Paid. The Issuer represents, warrants, covenants and
agrees that all shares of Warrant Stock which may be issued upon the exercise of
this Warrant or otherwise hereunder will, upon issuance and payment therefore in
accordance with the terms hereof, be duly authorized, validly issued, fully paid
and non-assessable and free from all taxes, liens, charges or any other
encumbrances created by or through Issuer. The Issuer further covenants and
agrees that during the period within which this Warrant may be exercised, the
Issuer will at all times have authorized and reserved for the purpose of the
issue upon exercise of this Warrant a sufficient number of shares of Common
Stock to provide for the full exercise of this Warrant.


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<PAGE>

         (b) Reservation. If any shares of Common Stock required to be reserved
for issuance upon exercise of this Warrant or as otherwise provided hereunder
require registration or qualification with any governmental authority under any
federal or state law before such shares may be so issued, the Issuer will in
good faith use its best efforts as expeditiously as possible at its expense to
cause such shares to be duly registered or qualified. If the Issuer shall list
any shares of Common Stock on any securities exchange or market it will, at its
expense, list thereon, maintain and increase when necessary such listing, of all
shares of Warrant Stock from time to time issued upon exercise of this Warrant
or as otherwise provided hereunder, and, to the extent permissible under the
applicable securities exchange rules, all unissued shares of Warrant Stock which
are at any time issuable hereunder, so long as any shares of Common Stock shall
be so listed. The Issuer will also so list on each securities exchange or
market, and will maintain such listing of, any other securities which the Holder
of this Warrant shall be entitled to receive upon the exercise of this Warrant
if at the time any securities of the same class shall be listed on such
securities exchange or market by the Issuer.

         (c) Covenants. The Issuer shall not by any action including, without
limitation, amending the Certificate of Incorporation or the by-laws of the
Issuer, or through any reorganization, transfer of assets, consolidation,
merger, dissolution, issue or sale of securities or any other action, avoid or
seek to avoid the observance or performance of any of the terms of this Warrant,
but will at all times in good faith assist in the carrying out of all such terms
and in the taking of all such actions as may be necessary or appropriate to
protect the rights of the Holder hereof against dilution (to the extent
specifically provided herein) or impairment. Without limiting the generality of
the foregoing, the Issuer will (i) not permit the par value, if any, of its
Common Stock to exceed the then effective Warrant Price, (ii) not amend or
modify any provision of the Certificate of Incorporation or by-laws of the
Issuer in any manner that would adversely affect in any way the powers,
preferences or relative participating, optional or other special rights of the
Common Stock or which would adversely affect the rights of the Holders of the
Warrants, (iii) take all such action as may be reasonably necessary in order
that the Issuer may validly and legally issue fully paid and nonassessable
shares of Common Stock, free and clear of any liens, claims, encumbrances and
restrictions (other than as provided herein) upon the exercise of this Warrant,
and (iv) use its best efforts to obtain all such authorizations, exemptions or
consents from any public regulatory body having jurisdiction thereof as may be
reasonably necessary to enable the Issuer to perform its obligations under this
Warrant.

         (d) Loss, Theft, Destruction or Mutilation of Warrants. Upon receipt of
evidence satisfactory to the Issuer of the ownership of and the loss, theft,
destruction or mutilation of any Warrant and, in the case of any such loss,
theft or destruction, upon receipt of indemnity or security satisfactory to the
Issuer or, in the case of any such mutilation, upon surrender and cancellation
of such Warrant, the Issuer will make and deliver, in lieu of such lost, stolen,
destroyed or mutilated Warrant, a new Warrant of like tenor and representing the
right to purchase the same number of shares of Common Stock.


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<PAGE>

         (e) Registration Rights. The Warrant Stock of the Issuer is entitled to
the benefits and subject to the terms of the Registration Rights Agreement dated
the date hereof between the Issuer and the Holder.

         4. Adjustment of Warrant Price and Warrant Share Number. The number of
shares of Common Stock for which this Warrant is exercisable, and the price at
which such shares may be purchased upon exercise of this Warrant, shall be
subject to adjustment from time to time as set forth in this Section 4. The
Issuer shall give the Holder notice of any event described below which requires
an adjustment pursuant to this Section 4 in accordance with Section 5.

         (a) Recapitalization, Reorganization, Reclassification, Consolidation,
Merger or Sale.

              (i) In case the Issuer after the Original Issue Date shall do any
         of the following (each, a "Triggering Event"): (a) consolidate with or
         merge into any other Person and the Issuer shall not be the continuing
         or surviving corporation of such consolidation or merger, or (b) permit
         any other Person to consolidate with or merge into the Issuer and the
         Issuer shall be the continuing or surviving Person but, in connection
         with such consolidation or merger, any Capital Stock of the Issuer
         shall be changed into or exchanged for Securities of any other Person
         or cash or any other property, or (c) transfer all or substantially all
         of its properties or assets to any other Person, or (d) effect a
         capital reorganization or reclassification of its Capital Stock, then,
         in the case of and as a condition to each such Triggering Event, proper
         provision shall be made so that, upon the basis and the terms and in
         the manner provided in this Warrant, the Holder of this Warrant shall
         be entitled, upon the exercise hereof at any time after the
         consummation of such Triggering Event, to the extent this Warrant is
         not exercised prior to such Triggering Event, to receive at the Warrant
         Price in effect at the time immediately prior to the consummation of
         such Triggering Event in lieu of the Common Stock issuable upon such
         exercise of this Warrant prior to such Triggering Event, the
         Securities, cash and property to which such Holder would have been
         entitled upon the consummation of such Triggering Event if such Holder
         had exercised the rights represented by this Warrant immediately prior
         thereto, subject to adjustments (subsequent to such corporate action)
         as nearly equivalent as possible to the adjustments provided for
         elsewhere in this Section 4.


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<PAGE>

              (ii) Notwithstanding anything contained in this Warrant to the
         contrary, the Issuer will not effect any Triggering Event unless, prior
         to the consummation thereof, each Person (other than the Issuer) which
         may be required to deliver any Securities, cash or property upon the
         exercise of this Warrant as provided herein shall assume, by written
         instrument delivered to, and reasonably satisfactory to, the Holder of
         this Warrant, (A) the obligations of the Issuer under this Warrant (and
         if the Issuer shall survive the consummation of such Triggering Event,
         such assumption shall be in addition to, and shall not release the
         Issuer from, any continuing obligations of the Issuer under this
         Warrant) and (B) the obligation to deliver to such Holder such shares
         of Securities, cash or property as, in accordance with the foregoing
         provisions of this subsection (a), such Holder shall be entitled to
         receive, and such Person shall have similarly delivered to such Holder
         an opinion of counsel for such Person, which counsel shall be
         reasonably satisfactory to such Holder, stating that this Warrant shall
         thereafter continue in full force and effect and the terms hereof
         (including, without limitation, all of the provisions of this
         subsection (a)) shall be applicable to the Securities, cash or property
         which such Person may be required to deliver upon any exercise of this
         Warrant or the exercise of any rights pursuant hereto.

              (iii) Prior notice of any Triggering Event shall be given to the
         Holder of this Warrant in accordance with Section 14 hereof.

         (b) Stock Dividends, Subdivisions and Combinations. If at any time the
Issuer shall:

              (i) take a record of the holders of its Common Stock for the
         purpose of entitling them to receive a dividend payable in, or other
         distribution of, Additional Shares of Common Stock,

              (ii) subdivide its outstanding shares of Common Stock into a
         larger number of shares of Common Stock, or

              (iii) combine its outstanding shares of Common Stock into a
         smaller number of shares of Common Stock, then (1) the number of shares
         of Common Stock for which this Warrant is exercisable immediately after
         the occurrence of any such event shall be adjusted to equal the number
         of shares of Common Stock which a record holder of the same number of
         shares of Common Stock for which this Warrant is exercisable
         immediately prior to the occurrence of such event would own or be
         entitled to receive after the happening of such event, and (2) the
         Warrant Price then in effect shall be adjusted to equal (A) the Warrant
         Price then in effect multiplied by the number of shares of Common Stock
         for which this Warrant is exercisable immediately prior to the
         adjustment divided by (B) the number of shares of Common Stock for
         which this Warrant is exercisable immediately after such adjustment.


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<PAGE>


         (c) Adjustment of Warrant Price Upon Certain Events.

              (i) If, after the Original Issue Date, the Company shall issue
         Additional Shares of Common Stock without consideration or for a
         consideration per share less than the Warrant Price in effect
         immediately prior to such issue, then and in such event, the Warrant
         Price shall be reduced, to a price (calculated to the nearest cent)
         determined by multiplying the Warrant Price in effect immediately prior
         to such issue by a fraction:

                (x) the numerator of which shall be (A) the number of shares of
                Common Stock outstanding immediately prior to such issue
                (including shares of the Common Stock issuable upon exercise or
                conversion of any outstanding Convertible Securities) plus (B)
                the number of shares of the Common Stock which the aggregate
                consideration received by the Company for the total number of
                Additional Shares of Common Stock so issued would purchase at
                the Warrant Price in effect immediately prior to such issue, and
                (y) the denominator of which shall be (A) the number of shares
                of the Common Stock outstanding immediately prior to such issue
                (including shares of Common Stock issuable upon exercise or
                conversion of any outstanding Convertible Securities) plus (B)
                the number of such Additional Shares of Common Stock so issued
                or deemed to be issued.

              (ii) The provisions of paragraph (i) of Section 4(c) shall not
         apply to any issuance of Additional Shares of Common Stock for which an
         adjustment is provided under Section 4(a) or 4(b). No adjustment of the
         number of shares of Common Stock for which this Warrant shall be
         exercisable shall be made under paragraph (i) of Section 4(c) upon the
         issuance of any Additional Shares of Common Stock which are issued
         pursuant to the exercise of any warrants or other subscription or
         purchase rights or pursuant to the exercise of any conversion or
         exchange rights in any Common Stock Equivalents, if any such adjustment
         shall previously have been made upon the issuance of such warrants or
         other rights or upon the issuance of such Common Stock Equivalents (or
         upon the issuance of any warrant or other rights therefor).

              (iii) Anything herein to the contrary notwithstanding, if any
         adjustment to the Warrant Price made pursuant to this Section 4(c)
         would result in a Warrant Price below $6.35 (as adjusted for stock
         splits, stock dividends, stock consolidations and recapitalizations),
         then the Warrant Price shall be $6.35 (as adjusted for stock splits,
         stock dividends, stock consolidations and recapitalizations).



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         (d) Certain Other Distributions. If at any time the Issuer shall take a
record of the holders of its Common Stock for the purpose of entitling them to
receive any dividend or other distribution of:

              (i) cash (other than a cash dividend payable out of earnings or
         earned surplus legally available for the payment of dividends under the
         laws of the jurisdiction of incorporation of the Issuer),

              (ii) any evidences of its indebtedness, any shares of stock of any
         class or any other securities or property of any nature whatsoever
         (other than cash, Common Stock Equivalents or Additional Shares of
         Common Stock), or

              (iii) any warrants or other rights to subscribe for or purchase
         any evidences of its indebtedness, any shares of stock of any class or
         any other securities or property of any nature whatsoever (other than
         cash, Common Stock Equivalents or Additional Shares of Common Stock),
         then (1) the number of shares of Common Stock for which this Warrant is
         exercisable shall be adjusted to equal the product of the number of
         shares of Common Stock for which this Warrant is exercisable
         immediately prior to such adjustment multiplied by a fraction (A) the
         numerator of which shall be the Per Share Market Value of Common Stock
         at the date of taking such record and (B) the denominator of which
         shall be such Per Share Market Value minus the amount allocable to one
         share of Common Stock of any such cash so distributable and of the fair
         value (as determined in good faith by the Board of Directors of the
         Issuer), of any and all such evidences of indebtedness, shares of
         stock, other securities or property or warrants or other subscription
         or purchase rights so distributable, and (2) the Warrant Price then in
         effect shall be adjusted to equal (A) the Warrant Price then in effect
         multiplied by the number of shares of Common Stock for which this
         Warrant is exercisable immediately prior to the adjustment divided by
         (B) the number of shares of Common Stock for which this Warrant is
         exercisable immediately after such adjustment. A reclassification of
         the Common Stock (other than a change in par value, or from par value
         to no par value or from no par value to par value) into shares of
         Common Stock and shares of any other class of stock shall be deemed a
         distribution by the Issuer to the holders of its Common Stock of such
         shares of such other class of stock within the meaning of this Section
         4(c) and, if the outstanding shares of Common Stock shall be changed
         into a larger or smaller number of shares of Common Stock as a part of
         such reclassification, such change shall be deemed a subdivision or
         combination, as the case may be, of the outstanding shares of Common
         Stock within the meaning of Section 4(b).

         (e) Other Provisions Applicable to Adjustments under this Section. The
following provisions shall be applicable to the making of adjustments of the
number of shares of Common Stock for which this Warrant is exercisable and the
Warrant Price then in effect provided for in this Section 4:


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              (i) When Adjustments to Be Made. The adjustments required by this
         Section 4 shall be made whenever and as often as any specified event
         requiring an adjustment shall occur, except that any adjustment of the
         number of shares of Common Stock for which this Warrant is exercisable
         that would otherwise be required may be postponed (except in the case
         of a subdivision or combination of shares of the Common Stock, as
         provided for in Section 4(b)) up to, but not beyond the date of
         exercise if such adjustment either by itself or with other adjustments
         not previously made adds or subtracts less than one-tenth (1/10th) of
         one percent (0.1%) of the shares of Common Stock for which this Warrant
         is exercisable immediately prior to the making of such adjustment. Any
         adjustment representing a change of less than such minimum amount
         (except as aforesaid) which is postponed shall be carried forward and
         made as soon as such adjustment, together with other adjustments
         required by this Section 4 and not previously made, would result in a
         minimum adjustment or on the date of exercise. For the purpose of any
         adjustment, any specified event shall be deemed to have occurred at the
         close of business on the date of its occurrence.

              (ii) Fractional Interests. In computing adjustments under this
         Section 4, fractional interests in Common Stock shall be taken into
         account to the nearest one one-hundredth (1/100th) of a share.

              (iii) When Adjustment Not Required. If the Issuer shall take a
         record of the holders of its Common Stock for the purpose of entitling
         them to receive a dividend or distribution or subscription or purchase
         rights and shall, thereafter and before the distribution to
         stockholders thereof, legally abandon its plan to pay or deliver such
         dividend, distribution, subscription or purchase rights, then
         thereafter no adjustment shall be required by reason of the taking of
         such record and any such adjustment previously made in respect thereof
         shall be rescinded and annulled.

         (f) Form of Warrant after Adjustments. The form of this Warrant need
not be changed because of any adjustments in the Warrant Price or the number and
kind of Securities purchasable upon the exercise of this Warrant.

         (g) Escrow of Warrant Stock. If after any adjustment pursuant to this
Section 4 by reason of the taking of any record of the holders of Common Stock,
but prior to the occurrence of the event for which such record is taken, and the
Holder exercises this Warrant, any shares of Common Stock issuable upon exercise
by reason of such adjustment shall be deemed the last shares of Common Stock for
which this Warrant is exercised (notwithstanding any other provision to the
contrary herein) and such shares or other property shall be held in escrow for
the Holder by the Issuer to be issued to the Holder upon and to the extent that
the event actually takes place, upon payment of the current Warrant Price.
Notwithstanding any other provision to the contrary herein, if the event for
which such record was taken fails to occur or is rescinded, then such escrowed
shares shall be cancelled by the Issuer and escrowed property returned.


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         5. Notice of Adjustments. Whenever the Warrant Price or Warrant Share
Number shall be adjusted pursuant to Section 4 hereof (for purposes of this
Section 5, each an "adjustment"), the Issuer shall cause its Chief Financial
Officer to prepare and execute a certificate setting forth, in reasonable
detail, the event requiring the adjustment, the amount of the adjustment, the
method by which such adjustment was calculated (including a description of the
basis on which the Board made any determination hereunder), and the Warrant
Price and Warrant Share Number after giving effect to such adjustment, and shall
cause copies of such certificate to be delivered to the Holder of this Warrant
promptly after each adjustment. Any dispute between the Issuer and the Holder of
this Warrant with respect to the matters set forth in such certificate may at
the option of the Holder of this Warrant be submitted to one of the national
accounting firms currently known as the "big five" selected by the Issuer,
provided that the Holder shall have ten (10) days after receipt of notice from
the Issuer of its selection of such firm to reasonably object thereto, in which
case the Issuer shall select another such firm and the Holder shall have no such
right of objection. The firm selected by the Issuer as provided in the preceding
sentence shall be instructed to deliver a written opinion as to such matters to
the Issuer and the Holder within thirty (30) days after submission to it of such
dispute. Such opinion shall be final and binding on the parties hereto. The fees
and expenses of such accounting firm shall be shared equally by the Issuer and
the Holder.

         6. Fractional Shares. No fractional shares of Warrant Stock will be
issued in connection with an exercise hereof, but in lieu of such fractional
shares, the Issuer shall make a cash payment therefor equal in amount to the
product of the applicable fraction multiplied by the Per Share Market Value then
in effect.

         7. Ownership Cap and Certain Exercise Restrictions.

         (a) Notwithstanding anything to the contrary set forth in this Warrant,
at no time may a holder of this Warrant exercise this Warrant if the number of
shares of Common Stock to be issued pursuant to such exercise would exceed, when
aggregated with all other shares of Common Stock owned by such holder at such
time, the number of shares of Common Stock which would result in such holder
owning more than 4.999% of all of the Common Stock outstanding at such time;
provided, however, that upon a holder of this Warrant providing the Issuer with
sixty (60) days notice (pursuant to Section 14 hereof) (the "Waiver Notice")
that such holder would like to waive this Section 7(a) with regard to any or all
shares of Common Stock issuable upon exercise of this Warrant, this Section 7(a)
will be of no force or effect with regard to all or a portion of the Warrant
referenced in the Waiver Notice.

         (b) The Holder may not exercise the Warrant hereunder to the extent
such exercise would result in the Holder beneficially owning (as determined in
accordance with Section 13(d) of the Exchange Act and the rules thereunder) in
excess of 9.999% of the then issued and outstanding shares of Common Stock,
including shares issuable upon exercise of the Warrant held by the Holder after
application of this Section.

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         8. Taxes. The Company covenants and agrees that it will pay when due
and payable any federal taxes and any taxes imposed by the State of New York in
respect of the issuance of this Warrant, or any Common Stock or certificates
therefor upon the exercise of this Warrant pursuant to the provisions hereof;
provided, however, the Issuer shall not be required to pay any tax which may be
payable in respect of any transfer involved in the issue or delivery of Warrant
Stock in a name other than that of the holder of this Warrant, which taxes will
be paid by such holder.

         9. Limitation of Liability. No provision of this Warrant, in the
absence of affirmative action by the Holder to purchase shares of Common Stock,
and no mere enumeration herein of the rights or privileges of the Holder, shall
give rise to any liability of the Holder for the Warrant Price or as a
shareholder of the Company, whether such liability is asserted by the Company or
by creditors of the Company.

         10. Definitions. For the purposes of this Warrant, the following terms
have the following meanings:

                  "Additional Shares of Common Stock" means all shares of Common
         Stock, including treasury shares, issued by the Issuer after the
         Original Issue Date, and all shares of Other Common, if any, issued by
         the Issuer after the Original Issue Date, except (i) the Warrant Stock;
         (ii) shares of Common Stock to be issued to strategic partners and/or
         in connection with a strategic merger or acquisition; (iii) up to an
         aggregate of 700,000 shares of Common Stock or options to purchase
         shares of Common Stock to employees, officers, directors, consultants
         and vendors in accordance with the Issuer's equity incentive policies;
         and (iv) the issuance of Securities pursuant to the conversion or
         exercise of convertible or exercisable securities issued or outstanding
         prior to the date hereof.

                  "Certificate of Incorporation" means the Certificate of
         Incorporation of the Issuer as in effect on the Original Issue Date,
         and as hereafter from time to time amended, modified, supplemented or
         restated in accordance with the terms hereof and thereof and pursuant
         to applicable law.


                                      -12-
<PAGE>

                  "Board" means the Board of Directors of the Issuer.

                  "Capital Stock" means and includes (i) any and all shares,
         interests, participations or other equivalents of or interests in
         (however designated) corporate stock, including, without limitation,
         shares of preferred or preference stock, (ii) all partnership interests
         (whether general or limited) in any Person which is a partnership,
         (iii) all membership interests or limited liability company interests
         in any limited liability company, and (iv) all equity or ownership
         interests in any Person of any other type.

                  "Common Stock" means the Common Stock, par value $0.01 per
         share, of the Issuer and any other Capital Stock into which such stock
         may hereafter be changed.

                  "Common Stock Equivalent" means any Convertible Security or
         warrant, option or other right to subscribe for or purchase any
         Additional Shares of Common Stock or any Convertible Security.

                  "Convertible Securities" means evidences of Indebtedness,
         shares of Capital Stock or other Securities which are or may be at any
         time convertible into or exchangeable for Additional Shares of Common
         Stock. The term "Convertible Security" means one of the Convertible
         Securities.

                  "Governmental Authority" means any governmental, regulatory or
         self-regulatory entity, department, body, official, authority,
         commission, board, agency or instrumentality, whether federal, state or
         local, and whether domestic or foreign.

                  "Holders" mean the Persons who shall from time to time own any
         Warrant. The term "Holder" means one of the Holders.

                  "Independent Appraiser" means a nationally recognized or major
         regional investment banking firm or firm of independent certified
         public accountants of recognized standing (which may be the firm that
         regularly examines the financial statements of the Issuer) that is
         regularly engaged in the business of appraising the Capital Stock or
         assets of corporations or other entities as going concerns, and which
         is not affiliated with either the Issuer or the Holder of any Warrant.

                  "Issuer" means IntegraMed America, Inc., a Delaware
         corporation, and its successors.

                                      -13-
<PAGE>

                  "Majority Holders" means at any time the Holders of Warrants
         exercisable for a majority of the shares of Warrant Stock issuable
         under the Warrants at the time outstanding.

                  "Nasdaq" means The Nasdaq National Market.

                  "Original Issue Date" means July 30, 2002.

                  "OTC Bulletin Board" means the over-the-counter electronic
         bulletin board.

                  "Other Common" means any other Capital Stock of the Issuer of
         any class which shall be authorized at any time after the date of this
         Warrant (other than Common Stock) and which shall have the right to
         participate in the distribution of earnings and assets of the Issuer
         without limitation as to amount.

                  "Person" means an individual, corporation, limited liability
         company, partnership, joint stock company, trust, unincorporated
         organization, joint venture, Governmental Authority or other entity of
         whatever nature.

                  "Per Share Market Value" means on any particular date (a) the
         closing sale price per share of the Common Stock on such date on the
         Nasdaq or another registered national stock exchange on which the
         Common Stock is then listed, or if there is no such price on such date,
         then the closing sale price on such exchange or quotation system on the
         date nearest preceding such date, or (b) if the Common Stock is not
         listed then on the Nasdaq or any other registered national stock
         exchange, the closing sale price for a share of Common Stock in the
         over-the-counter market, as reported by the OTC Bulletin Board or in
         the National Quotation Bureau Incorporated or similar organization or
         agency succeeding to its functions of reporting prices) at the close of
         business on such date, or (c) if the Common Stock is not then reported
         by the OTC Bulletin Board or the National Quotation Bureau Incorporated
         (or similar organization or agency succeeding to its functions of
         reporting prices), then the average of the "Pink Sheet" sale prices for
         the relevant conversion period, as determined in good faith by the
         holder, or (d) if the Common Stock is not then publicly traded the fair
         market value of a share of Common Stock as determined by an Independent
         Appraiser selected in good faith by the Majority Holders; provided,
         however, that the Issuer, after receipt of the determination by such
         Independent Appraiser, shall have the right to select an additional
         Independent Appraiser, in which case, the fair market value shall be
         equal to the average of the determinations by each such Independent
         Appraiser; and provided, further that all determinations of the Per
         Share Market Value shall be appropriately adjusted for any stock
         dividends, stock splits or other similar transactions during such
         period. The determination of fair market value by an Independent
         Appraiser shall be based upon the fair market value of the Issuer
         determined on a going concern basis as between a willing buyer and a
         willing seller and taking into account all relevant factors
         determinative of value, and shall be final and binding on all parties.
         In determining the fair market value of any shares of Common Stock, no
         consideration shall be given to any restrictions on transfer of the
         Common Stock imposed by agreement or by federal or state securities
         laws, or to the existence or absence of, or any limitations on, voting
         rights.


                                      -14-
<PAGE>

                  "Purchase Agreement" means the Securities Purchase Agreement
         dated as of July 30, 2002 among the Issuer and the investors who are
         parties thereto.

                  "Securities" means any debt or equity securities of the
         Issuer, whether now or hereafter authorized, any instrument convertible
         into or exchangeable for Securities or a Security, and any option,
         warrant or other right to purchase or acquire any Security. "Security"
         means one of the Securities.

                  "Securities Act" means the Securities Act of 1933, as amended,
         or any similar federal statute then in effect.

                  "Subsidiary" means any corporation at least 50% of whose
         outstanding Voting Stock shall at the time be owned directly or
         indirectly by the Issuer or by one or more of its Subsidiaries, or by
         the Issuer and one or more of its Subsidiaries.

                  "Term" has the meaning specified in Section 1 hereof.

                  "Trading Day" means (a) a day on which the Common Stock is
         traded on the Nasdaq, or (b) if the Common Stock is not listed on the
         Nasdaq, a day on which the Common Stock is traded on any other
         registered national stock exchange, or (c) if the Common Stock is not
         traded on any other registered national stock exchange, a day on which
         the Common Stock is traded on the OTC Bulletin Board, or (d) if the
         Common Stock is not traded on the OTC Bulletin Board, a day on which
         the Common Stock is quoted in the over-the-counter market as reported
         by the National Quotation Bureau Incorporated (or any similar
         organization or agency succeeding its functions of reporting prices);
         provided, however, that in the event that the Common Stock is not
         listed or quoted as set forth in subclauses (a), (b) and (c) hereof,
         then Trading Day shall mean any day except Saturday, Sunday and any day
         which shall be a legal holiday or a day on which banking institutions
         in the State of New York are authorized or required by law or other
         government action to close.

                  "Voting Stock" means, as applied to the Capital Stock of any
         corporation, Capital Stock of any class or classes (however designated)
         having ordinary voting power for the election of a majority of the
         members of the Board of Directors (or other governing body) of such
         corporation, other than Capital Stock having such power only by reason
         of the happening of a contingency.


                                      -15-
<PAGE>

                  "Warrants" means the Warrants issued and sold pursuant to the
         Purchase Agreement, including, without limitation, this Warrant, and
         any other warrants of like tenor issued in substitution or exchange for
         any thereof pursuant to the provisions of Section 2(c), 2(d) or 2(e)
         hereof or of any of such other Warrants.

                  "Warrant Price" means U.S. $9.00; as such price may be
         adjusted from time to time as shall result from the adjustments
         specified in this Warrant, including Section 4 hereto.

                  "Warrant Share Number" means at any time the aggregate number
         of shares of Warrant Stock which may at such time be purchased upon
         exercise of this Warrant, after giving effect to all prior adjustments
         and increases to such number made or required to be made under the
         terms hereof.

                  "Warrant Stock" means Common Stock issuable upon exercise of
         any Warrant or Warrants or otherwise issuable pursuant to any Warrant
         or Warrants.

        11.  Other Notices.  In case at any time:

             (A)   the Issuer shall make any distributions to the holders of
                   Common Stock; or

             (B)   the Issuer shall authorize the granting to all holders of its
                   Common Stock of rights to subscribe for or purchase any
                   shares of Capital Stock of any class or of any Common Stock
                   Equivalents or other rights; or

             (C)   there shall be any reclassification of the Capital Stock of
                   the Issuer; or

             (D)   there shall be any capital reorganization by the Issuer; or

             (E)   there shall be any (i) consolidation or merger involving the
                   Issuer or (ii) sale, transfer or other disposition of all or
                   substantially all of the Issuer's property, assets or
                   business (except a merger or other reorganization in which
                   the Issuer shall be the surviving corporation and its shares
                   of Capital Stock shall continue to be outstanding and
                   unchanged and except a consolidation, merger, sale, transfer
                   or other disposition involving a wholly-owned Subsidiary); or

             (F)   there shall be a voluntary or involuntary dissolution,
                   liquidation or winding-up of the Issuer or any partial
                   liquidation of the Issuer or distribution to holders of
                   Common Stock;


                                      -16-
<PAGE>

then, in each of such cases, the Issuer shall give written notice to the Holder
of the date on which (i) the books of the Issuer shall close or a record shall
be taken for such dividend, distribution or subscription rights or (ii) such
reorganization, reclassification, consolidation, merger, disposition,
dissolution, liquidation or winding-up, as the case may be, shall take place.
Such notice also shall specify the date as of which the holders of Common Stock
of record shall participate in such dividend, distribution or subscription
rights, or shall be entitled to exchange their certificates for Common Stock for
securities or other property deliverable upon such reorganization,
reclassification, consolidation, merger, disposition, dissolution, liquidation
or winding-up, as the case may be. Such notice shall be given at least twenty
(20) days prior to the action in question and not less than twenty (20) days
prior to the record date or the date on which the Issuer's transfer books are
closed in respect thereto. The Issuer shall give to the Holder notice of all
meetings and actions by written consent of its stockholders, at the same time in
the same manner as notice of any meetings of stockholders is required to be
given to stockholders who do not waive such notice (or, if such requires no
notice, then three (3) Trading Days written notice thereof describing the
matters upon which action is to be taken). The Holder shall have the right to
send two (2) representatives selected by it to each meeting of stockholders, who
shall be permitted to attend, but not vote at, such meeting and any adjournments
thereof. This Warrant entitles the Holder to receive copies of all financial and
other information distributed or required to be distributed to the holders of
the Common Stock.

         12. Amendment and Waiver. Any term, covenant, agreement or condition in
this Warrant may be amended, or compliance therewith may be waived (either
generally or in a particular instance and either retroactively or
prospectively), by a written instrument or written instruments executed by the
Issuer and the Majority Holders; provided, however, that no such amendment or
waiver shall reduce the Warrant Share Number, increase the Warrant Price,
shorten the period during which this Warrant may be exercised or modify any
provision of this Section 12 without the consent of the Holder of this Warrant.

         13. Governing Law. THIS WARRANT SHALL BE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, WITHOUT GIVING EFFECT TO
PRINCIPLES OF CONFLICTS OF LAW.

         14. Notices. Any and all notices or other communications or deliveries
required or permitted to be provided hereunder shall be in writing and shall be
deemed given and effective on the earlier of (i) the date of transmission, if
such notice or communication is delivered via facsimile at the facsimile
telephone number specified for notice prior to 5:00 p.m., eastern time, on a
Trading Day, (ii) the Trading Day after the date of transmission, if such notice
or communication is delivered via facsimile at the facsimile telephone number
specified for notice later than 5:00 p.m., eastern time, on any date and earlier
than 11:59 p.m., eastern time, on such date, (iii) the Trading Day following the
date of mailing, if sent by nationally recognized overnight courier service or
(iv) actual receipt by the party to whom such notice is required to be given.
The addresses for such communications shall be with respect to the Holder of
this Warrant or of Warrant Stock issued pursuant hereto, addressed to such
Holder at its last known address or facsimile number appearing on the books of
the Issuer maintained for such purposes, or with respect to the Issuer,
addressed to:

                                      -17-
<PAGE>

                                    IntegraMed America, Inc.
                                    One Manhattanville Road
                                    Purchase, NY 10577
                                    Attention:  Gerardo Canet
                                    Telephone:  (914) 253-8000
                                    Telecopier:  (914) 253-8008

with copies (which copies shall not constitute notice to the Company) to:

                                    Dorsey & Whitney LLP
                                    250 Park Avenue
                                    New York, NY 10177
                                    Attention: Kevin Collins
                                    Telephone: (212) 415-9200
                                    Telecopier: (212) 953-7201


Copies of notices to the Holder shall be sent to (i) H.C. Wainwright & Co.,
Inc., 245 Park Avenue, 44th Floor, New York, NY 10128, Attention: Julia Aryeh,
Telecopier no.: (212) 856-5750 and (ii) Dechert, 4000 Bell Atlantic Tower, 1717
Arch Street, Philadelphia, PA 19103, Attention: Christopher G. Karras, Telephone
no.: (215) 994-4000, Telecopier no.: (215) 994-2222. Any party hereto may from
time to time change its address for notices by giving at least ten (10) days
written notice of such changed address to the other party hereto.

                                      -18-
<PAGE>

         15. Warrant Agent. The Issuer may, by written notice to each Holder of
this Warrant, appoint an agent having an office in New York, New York for the
purpose of issuing shares of Warrant Stock on the exercise of this Warrant
pursuant to subsection (b) of Section 2 hereof, exchanging this Warrant pursuant
to subsection (d) of Section 2 hereof or replacing this Warrant pursuant to
subsection (d) of Section 3 hereof, or any of the foregoing, and thereafter any
such issuance, exchange or replacement, as the case may be, shall be made at
such office by such agent.

         16. Remedies. The Issuer stipulates that the remedies at law of the
Holder of this Warrant in the event of any default or threatened default by the
Issuer in the performance of or compliance with any of the terms of this Warrant
are not and will not be adequate and that, to the fullest extent permitted by
law, such terms may be specifically enforced by a decree for the specific
performance of any agreement contained herein or by an injunction against a
violation of any of the terms hereof or otherwise.

         17. Successors and Assigns. This Warrant and the rights evidenced
hereby shall inure to the benefit of and be binding upon the successors and
assigns of the Issuer, the Holder hereof and (to the extent provided herein) the
Holders of Warrant Stock issued pursuant hereto, and shall be enforceable by any
such Holder or Holder of Warrant Stock.

         18. Modification and Severability. If, in any action before any court
or agency legally empowered to enforce any provision contained herein, any
provision hereof is found to be unenforceable, then such provision shall be
deemed modified to the extent necessary to make it enforceable by such court or
agency. If any such provision is not enforceable as set forth in the preceding
sentence, the unenforceability of such provision shall not affect the other
provisions of this Warrant, but this Warrant shall be construed as if such
unenforceable provision had never been contained herein.

         19. Headings. The headings of the Sections of this Warrant are for
convenience of reference only and shall not, for any purpose, be deemed a part
of this Warrant.

         20. Redemption.
             ----------

         (a) Upon effectiveness of the Registration Statement, if the quoted
closing price for the Common Stock is greater than $15.00 for twenty (20)
consecutive trading days, the Company may redeem the Warrants, at the option of
the Company, for $0.10 per Warrant upon ten (10) trading days' prior written
notice to the Holder.

                                      -19-
<PAGE>

         (b) If the conditions set forth in Section 20(a) are met, and the
Company elects to exercise its right to redeem the Warrants, it shall mail a
notice of redemption to each of the registered holders of the Warrants to be
redeemed, first class, postage prepaid, not later than the tenth trading day
before the date fixed for redemption, at their last address as shall appear on
the records maintained by the Company. Any notice mailed in the manner provided
herein shall be conclusively presumed to have been duly given whether or not the
registered holder receives such notice.

         (c) The notice of redemption shall specify (i) the redemption price,
(ii) the date fixed for redemption, and (iii) that the right to exercise the
Warrant shall terminate at 5:00 P.M. (New York time) on the business day
immediately preceding the date fixed for redemption. The date fixed for the
redemption of the Warrant shall be the "Redemption Date." No failure to mail
such notice nor any defect therein or in the mailing thereof shall affect the
validity of the proceedings for such redemption except as to a registered holder
(A) to whom notice was not mailed or (B) whose notice was defective. An
affidavit of the warrant agent or of the Secretary or an Assistant Secretary of
the Company that notice of redemption has been mailed shall, in the absence of
fraud, be prima facie evidence of the facts stated therein.

         (d) Any right to exercise a Warrant shall terminate at 5:00 P.M. (New
York time) on the business day immediately preceding the Redemption Date. On and
after the Redemption Date, holders of the Warrants shall have no further rights
except to receive, upon surrender of the Warrant, the redemption price.

         (e) From and after the Redemption Date specified, the Company shall, at
the place specified in the notice of redemption, upon presentation and surrender
to the Company by or on behalf of the registered holder thereof of one or more
warrant certificates evidencing Warrants to be redeemed, deliver or cause to be
delivered to or upon the written order of such holder a sum in cash equal to the
redemption price of each such Warrant. From and after the Redemption Date and
upon the deposit or setting aside by the Company of a sum sufficient to redeem
all the Warrants called for redemption, such Warrants shall expire and become
void and all rights hereunder and under the warrant certificates, except the
right to receive payment of the redemption price, shall cease.

                                      -20-

<PAGE>



         IN WITNESS WHEREOF, the Issuer has executed this Warrant as of the day
and year first above written.



                            INTEGRAMED AMERICA, INC.



                            By:
                               -------------------------------------------------
                                 Name:
                                 Title:

                                      -21-

<PAGE>



                                  EXERCISE FORM

                            INTEGRAMED AMERICA, INC.

         The undersigned _______________, pursuant to the provisions of the
within Warrant, hereby elects to purchase _____ shares of Common Stock of
IntegraMed America, Inc. covered by the within Warrant.


Dated: _________________            Signature        ___________________________

                                    Address          ___________________________

                                                     ___________________________



                                   ASSIGNMENT

         FOR VALUE RECEIVED, _________________ hereby sells, assigns and
transfers unto __________________ the within Warrant and all rights evidenced
thereby and does irrevocably constitute and appoint _____________, attorney, to
transfer the said Warrant on the books of the within named corporation.

Dated: _________________            Signature        ___________________________

                                    Address          ___________________________

                                                     ___________________________


                               PARTIAL ASSIGNMENT

      Dated: _________________      Signature        ___________________________

                                    Address          ___________________________

                                                     ___________________________
                                      -22-
<PAGE>



                                            FOR USE BY THE ISSUER ONLY:

         This Warrant No. W-_____ canceled (or transferred or exchanged) this
_____ day of ___________, _____, shares of Common Stock issued therefor in the
name of _______________, Warrant No. W-_____ issued for ____ shares of Common
Stock in the name of _______________.


                                      -23-