VOID AFTER 5:00 P.M. NEW YORK TIME, ON ARIL 15, 2003
                WARRANT TO PURCHASE 15,000 SHARES OF COMMON STOCK




                        WARRANT TO PURCHASE COMMON STOCK

                                       OF

                            INTEGRAMED AMERICA, INC.




                  This is to Certify That, FOR VALUE  RECEIVED,MICHAEL  J. LEVY,
or assigns  ("Holder"),  is entitled to purchase,  subject to the  provisions of
this Warrant, from IntegraMed America, Inc., a Delaware corporation ("Company"),
15,000 fully paid, validly issued and nonassessable  shares of Common Stock, par
value $.01 per share,  of the Company  ("Common  Stock") at a price of $1.75 per
share at any time or from time to time  during the period from April 16, 1998 to
April 15, 2003,  but not later than 5:00 p.m.  New York City Time,  on April 15,
2003.  The number of shares of Common Stock to be received  upon the exercise of
this  Warrant  and the price to be paid for each  share of  Common  Stock may be
adjusted from time to time as hereinafter set forth.  The shares of Common Stock
deliverable  upon  such  exercise,  and as  adjusted  from  time  to  time,  are
hereinafter  sometimes referred to as "Warrant Shares" and the exercise price of
a share of Common Stock in effect at any time and as adjusted  from time to time
is hereinafter sometimes referred to as the "Exercise Price".

                  (a)      EXERCISE OF WARRANT.

                           (1) This Warrant may be exercised in whole or in part
at any time or from time to time on or after  April 16, 1998 and until April 15,
2003 (the  "Exercise  Period"),  subject to the  provisions  of  Section  (j)(2)
hereof;  provided,  however,  that  if  such  day  is a  day  on  which  banking
institutions  in the State of New York are  authorized by law to close,  then on
the next  succeeding  day which  shall not be such a day.  This  Warrant  may be
exercised by presentation  and surrender  hereof to the Company at its principal
office,  or at the office of its stock transfer agent, if any, with the Purchase
Form annexed  hereto duly  executed and  accompanied  by payment of the Exercise
Price for the  number of  Warrant  Shares  specified  in such  form.  As soon as
practicable  after each such exercise of the warrants,  but not later than seven
(7) days from the date of such exercise,  the Company shall issue and deliver to
the Holder a certificate  or certificate  for the Warrant  Shares  issuable upon
such  exercise,  registered in the name of the Holder or its  designee.  If this
Warrant should be exercised in part only,  the Company shall,  upon surrender of
this Warrant for cancellation,  execute and deliver a new Warrant evidencing the


  
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rights of the Holder  thereof to  purchase  the  balance of the  Warrant  Shares
purchasable  thereunder.  Upon  receipt by the  Company  of this  Warrant at its
office,  or by the stock transfer agent of the Company at its office,  in proper
form for exercise,  the Holder shall be deemed to be the holder of record of the
shares of Common Stock  issuable upon such  exercise,  notwithstanding  that the
stock  transfer  books of the Company shall then be closed or that  certificates
representing such shares of Common Stock shall not then be physically  delivered
to the Holder.

                  (b)  RESERVATION  OF SHARES.  The  Company  shall at all times
reserve for issuance  and/or  delivery upon exercise of this Warrant such number
of shares of its Common  Stock as shall be required  for  issuance  and delivery
upon exercise of the Warrants.

                  (c)  FRACTIONAL   SHARES.   No  fractional  shares  or  script
representing  fractional  shares  shall  be  issued  upon the  exercise  of this
Warrant.  With  respect to any  fraction of a share called for upon any exercise
hereof,  the  Company  shall pay to the  Holder an amount in cash  equal to such
fraction  multiplied  by the  current  market  value of a share,  determined  as
follows:

                           (1) If the  Common  Stock  is  listed  on a  national
                  securities exchange or admitted to unlisted trading privileges
                  on such exchange or listed for trading on the Nasdaq  National
                  Market,  the current  market value shall be the last  reported
                  sale price of the Common  Stock on such  exchange or market on
                  the last  business  day prior to the date of  exercise of this
                  Warrant  or if no such sale is made on such day,  the  average
                  closing bid and asked prices for such day on such  exchange or
                  market; or

                           (2) If the Common  Stock is not so listed or admitted
                  to unlisted  trading  privileges,  but is traded on the Nasdaq
                  Small  Cap  Market,  the  current  Market  Value  shall be the
                  average of the  closing  bid and asked  prices for such day on
                  such  market  and if the Common  Stock is not so  traded,  the
                  current  market  value shall be the mean of the last  reported
                  bid  and  asked  prices  reported  by the  National  Quotation
                  Bureau, Inc. on the last business day prior to the date of the
                  exercise of this Warrant; or

                           (3) If the Common  Stock is not so listed or admitted
                  to unlisted  trading  privileges  and bid and asked prices are
                  not so reported,  the current market value shall be an amount,
                  not less than  book  value  thereof  as at the end of the most
                  recent fiscal year of the Company  ending prior to the date of
                  the exercise of the  Warrant,  determined  in such  reasonable
                  manner as may be  prescribed  by the Board of Directors of the
                  Company.

                  (d) EXCHANGE,  TRANSFER,  ASSIGNMENT OR LOSS OF WARRANT.  This
Warrant is  exchangeable,  without  expense,  at the option of the Holder,  upon
presentation  and surrender  hereof to the Company or at the office of its stock
transfer agent, if any, for other warrants of different  denominations entitling
the holder  thereof to  purchase in the  aggregate  the same number of shares of
Common Stock purchasable hereunder. This Warrant is not transferable (other than
by will or pursuant to the laws of descent and distribution).  Upon surrender of



                                        2





this  Warrant  to the  Company at its  principal  office or at the office of its
stock  transfer  agent,  if any, with the  Assignment  Form annexed  hereto duly
executed  and funds  sufficient  to pay any  transfer  tax,  the Company  shall,
without  charge,  execute and deliver a new Warrant in the name of the  assignee
named in such  instrument  of  assignment  and this  Warrant  shall  promptly be
canceled.  This  Warrant may be divided or combined  with other  warrants  which
carry the same rights upon  presentation  hereof at the principal  office of the
Company or at the office of its stock transfer  agent,  if any,  together with a
written notice  specifying the names and denominations in which new Warrants are
to be issued and signed by the Holder hereof.  The term "Warrant" as used herein
includes any Warrants into which this Warrant may be divided or exchanged.  Upon
receipt  by the  Company  of  evidence  satisfactory  to it of the loss,  theft,
destruction  or mutilation of this Warrant,  and (in the case of loss,  theft or
destruction) of reasonably satisfactory indemnification,  and upon surrender and
cancellation of this Warrant, if mutilated, the Company will execute and deliver
a new  Warrant  of like  tenor  and  date.  Any such new  Warrant  executed  and
delivered shall constitute an additional  contractual  obligation on the part of
the  Company,  whether  or not this  Warrant  so  lost,  stolen,  destroyed,  or
mutilated shall be at any time enforceable by anyone.

                  (e)  RIGHTS OF THE  HOLDER.  The Holder  shall not,  by virtue
hereof, be entitled to any rights of a shareholder in the Company, either at law
or equity,  and the rights of the Holder are limited to those  expressed  in the
Warrant and are not  enforceable  against  the Company  except to the extent set
forth herein.

                  (f) ANTI-DILUTION PROVISIONS.  The Exercise Price in effect at
any time and the number and kind of securities  purchasable upon the exercise of
the Warrants shall be subject to adjustment from time to time upon the happening
of certain events as follows:

                           (1) In case the Company  shall (i) declare a dividend
                  or make a  distribution  on its  outstanding  shares of Common
                  Stock in shares of Common Stock,  (ii) subdivide or reclassify
                  its  outstanding  shares of Common Stock into a greater number
                  of shares,  or (iii)  combine or  reclassify  its  outstanding
                  shares of Common  Stock into a smaller  number of shares,  the
                  Exercise  Price in effect at the time of the  record  date for
                  such dividend or distribution or of the effective date of such
                  subdivision, combination or reclassification shall be adjusted
                  so that it shall equal the price determined by multiplying the
                  Exercise Price by a fraction,  the  denominator of which shall
                  be the  number of shares of  Common  Stock  outstanding  after
                  giving effect to such action, and the numerator of which shall
                  be  the   number  of  shares  of  Common   Stock   outstanding
                  immediately  prior to such action.  Such  adjustment  shall be
                  made successively whenever any event listed above shall occur.

                           (2) Whenever the Exercise Price payable upon exercise
                  of each Warrant is adjusted  pursuant to Subsection (1) above,
                  the number of Shares purchasable upon exercise of this Warrant
                  shall  simultaneously be adjusted by multiplying the number of
                  Shares initially issuable upon exercise of this Warrant by the
                  Exercise  Price in effect on the date hereof and  dividing the
                  product so obtained by the Exercise Price, as adjusted.

   
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                           (3) No  adjustment  in the  Exercise  Price  shall be
                  required unless such  adjustment  would require an increase or
                  decrease  of at  least  five  cents  ($0.05)  in  such  price;
                  provided,  however,  that any  adjustments  which by reason of
                  this  Subsection  (3) are not  required  to be made  shall  be
                  carried  forward  and taken  into  account  in any  subsequent
                  adjustment  required to be made  hereunder.  All  calculations
                  under this Section (f) shall be made to the nearest cent or to
                  the  nearest  one-hundredth  of a  share,  as the case may be.
                  Anything in this Section (f) to the contrary  notwithstanding,
                  the Company shall be entitled,  but shall not be required,  to
                  make such changes in the Exercise  Price, in addition to those
                  required by this  Section (f), as it shall  determine,  in its
                  sole discretion, to be advisable in order that any dividend or
                  distribution  in shares of Common Stock,  or any  subdivision,
                  reclassification  or  combination  of Common Stock,  hereafter
                  made by the Company shall not result in any Federal Income tax
                  liability  to  the  holders  of  Common  Stock  or  securities
                  convertible into Common Stock (including Warrants).

                           (4)  Whenever  the  Exercise  Price is  adjusted,  as
                  herein provided,  the Company shall promptly but no later than
                  10 days  after  any  request  for  such an  adjustment  by the
                  Holder,  cause a notice  setting  forth the adjusted  Exercise
                  Price and adjusted  number of Shares issuable upon exercise of
                  each Warrant,  and, if requested,  information  describing the
                  transactions giving rise to such adjustments,  to be mailed to
                  the Holders at their last  addresses  appearing in the Warrant
                  Register,  and shall  cause a  certified  copy  thereof  to be
                  mailed to its transfer agent, if any. The Company may retain a
                  firm of independent  certified public accountants  selected by
                  the Board of  Directors  (who may be the  regular  accountants
                  employed by the Company) to make any  computation  required by
                  this Section (f), and a certificate  signed by such firm shall
                  be conclusive evidence of the correctness of such adjustment.

                           (5) In the event that at any time,  as a result of an
                  adjustment  made pursuant to Subsection (1) above,  the Holder
                  of this Warrant  thereafter  shall become  entitled to receive
                  any shares of the Company, other than Common Stock, thereafter
                  the number of such other shares so receivable upon exercise of
                  this Warrant shall be subject to adjustment  from time to time
                  in a manner and on terms as nearly  equivalent as  practicable
                  to the provisions  with respect to the Common Stock  contained
                  in Subsections (1) to (3), inclusive above.

                  (g) OFFICER'S  CERTIFICATE.  Whenever the Exercise Price shall
be adjusted as required by the provisions of the foregoing Section,  the Company
shall  forthwith file in the custody of its Secretary or an Assistant  Secretary
at its principal  office and with its stock transfer agent, if any, an officer's
certificate  showing the adjusted  Exercise Price determined as herein provided,
setting  forth  in  reasonable  detail  the  facts  requiring  such  adjustment,


  
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including a statement of the number of  additional  shares of Common  Stock,  if
any,  and such other facts as shall be  necessary to show the reason for and the
manner of computing such adjustment.  Each such officer's  certificate  shall be
made  available  at all  reasonable  times for  inspection  by the holder or any
holder of a Warrant  executed  and  delivered  pursuant  to Section  (a) and the
Company shall,  forthwith after each such  adjustment,  mail a copy by certified
mail of such certificate to the Holder or any such holder.

                  (h) NOTICES TO WARRANT HOLDERS.  So long as this Warrant shall
be  outstanding,  (i)  if the  Company  shall  pay  any  dividend  or  make  any
distribution  upon the Common  Stock or (ii) if the  Company  shall offer to the
holders of Common  Stock for  subscription  or purchase by them any share of any
class or any other rights or (iii) if any capital reorganization of the Company,
reclassification of the capital stock of the Company, consolidation or merger of
the Company with or into another corporation,  sale, lease or transfer of all or
substantially  all  of  the  property  and  assets  of the  Company  to  another
corporation, or voluntary or involuntary dissolution,  liquidation or winding up
of the Company shall be effected, then in any such case, the Company shall cause
to be mailed by certified  mail to the Holder,  at least  fifteen days prior the
date  specified in (x) or (y) below,  as the case may be, a notice  containing a
brief  description  of the  proposed  action and stating the date on which (x) a
record is to be taken for the purpose of such dividend,  distribution or rights,
or (y) such reclassification, reorganization, consolidation, merger, conveyance,
lease, dissolution,  liquidation or winding up is to take place and the date, if
any is to be fixed, as of which the holders of Common Stock or other  securities
shall receive cash or other  property  deliverable  upon such  reclassification,
reorganization,  consolidation,  merger, conveyance, dissolution, liquidation or
winding up.

                  (i) RECLASSIFICATION, REORGANIZATION OR MERGER. In case of any
reclassification,  capital  reorganization or other change of outstanding shares
of Common Stock of the Company, or in case of any consolidation or merger of the
Company with or into another  corporation (other than a merger with a subsidiary
in which  merger the Company is the  continuing  corporation  and which does not
result  in any  reclassification,  capital  reorganization  or other  change  of
outstanding  shares of Common Stock of the class  issuable upon exercise of this
Warrant) or in case of any sale,  lease or conveyance to another  corporation of
the property of the Company as an entirety,  the Company  shall,  as a condition
precedent to such transaction, cause effective provisions to be made so that the
Holder shall have the right  thereafter by  exercising  this Warrant at any time
prior to the  expiration  of the  Warrant,  to  purchase  the kind and amount of
shares  of  stock  and  other  securities  and  property  receivable  upon  such
reclassification,   capital  reorganization  and  other  change,  consolidation,
merger,  sale or  conveyance by a holder of the number of shares of Common Stock
which might have been purchased upon exercise of this Warrant  immediately prior
to such reclassification, change, consolidation, merger, sale or conveyance. Any
such provision shall include  provision for adjustments which shall be as nearly
equivalent  as may  be  practicable  to the  adjustments  provided  for in  this
Warrant.  The foregoing  provisions of this Section (i) shall similarly apply to
successive  reclassifications,  capital reorganizations and changes of shares of
Common Stock and to successive consolidations, mergers, sales or conveyances. In
the  event  that  in  connection  with  any  such  capital   reorganization   or
reclassification,  consolidation,  merger, sale or conveyance, additional shares
of Common  Stock  shall be  issued  in  exchange,  conversion,  substitution  or
payment,  in whole or in part,  for a security of the Company  other than Common
Stock,  any such issue shall be treated as an issue of Common  Stock  covered by
the provisions of Subsection (1) of Section (f) hereof.


                                            INTEGRAMED AMERICA, INC.


                                            By: /s/Gerardo Canet
                                               ------------------------------ 
                                               Gerardo Canet, President & CEO

Dated: April 16, 1998



Attest:

/s/Claude E. White
- -----------------------------
Claude E. White, Secretary

[Seal]




                                        5







                                  PURCHASE FORM


                                                Date: ________________________

                  The  undersigned  hereby  irrevocably  elects to exercise  the


within  Warrant to the extent of purchasing  _______  shares of Common Stock and
hereby makes payment of _______ in payment of the actual exercise price thereof.

                                ----------------



                     INSTRUCTIONS FOR REGISTRATION OF STOCK



Name ________________________________
(Please typewrite or print in block letters)


Address ______________________________


Signature _____________________________




  




                                 ASSIGNMENT FORM

     FOR VALUE RECEIVED, ______________ hereby sells, assigns and transfers unto


Name _____________________________
(Please typewrite or print in block letters)


Address ____________________________

the right to purchase Common Stock  represented by this Warrant to the extent of
______ shares as to which such right is exercisable and does hereby  irrevocably
constitute  and appoint  ___________  as  attorney,  to transfer the same on the
books of the Company with full power of substitution in the premises.

Date:_____________________________


Signature _________________________


 




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                             STOCK PURCHASE WARRANT




                           To Purchase Common Stock of




                            INTEGRAMED AMERICA, INC.

















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