INTEGRAMED AMERICA INC
SC 13G, 1998-04-08
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                              UNITED STATES
                    SECURITIES AND EXCHANGE COMMISSION
                         Washington, D.C. 20549

                              SCHEDULE 13G

               Under the Securities Exchange Act of 1934
                           (Amendment No. *)


                         INTEGRAMED AMERICA, INC.
                           (Name of Issuer)

                              Common Stock

                    (Title of Class of Securities)

                                 45810N10
                              (CUSIP Number)


                              February 17, 1998
          (Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:

                         /___/     Rule 13d-1(b)
                         /_X_/     Rule 13d-1(c)
                         /___/     Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to
the subject class of securities, and for any subsequent amendment
containing information which would alter disclosures provided in
a prior cover page.

The information required on the remainder of this cover page
shall not be deemed to be "filed" for the purpose of Section 18
of the Securities Exchange Act of 1934 ("Act") or otherwise
subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the
Notes).


Potential persons who are to respond to the collection of
information contained in this form are not required to respond
unless the form displays a currently valid OMB control number.

SEC 1745 (2-96)
<PAGE>
<PAGE>
CUSIP No. 45810N10                 13G       Page 2 of 11 Pages

- -----------------------------------------------------------------
1    NAME OF REPORTING PERSON
     IRS IDENTIFICATION NO. OF ABOVE PERSON

     London Merchant Securities plc
- -----------------------------------------------------------------
2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*           
(a)/X /
                                                                 
(b)/ /
- -----------------------------------------------------------------
3    SEC USE ONLY

- -----------------------------------------------------------------
4    CITIZENSHIP OR PLACE OF ORGANIZATION

     United Kingdom
- -----------------------------------------------------------------
       NUMBER OF         5    SOLE VOTING POWER
        SHARES                -0-
     BENEFICIALLY        ----------------------------------------
       OWNED BY          6    SHARED VOTING POWER
         EACH                 850,000
      REPORTING          ----------------------------------------
        PERSON           7    SOLE DISPOSITIVE POWER
         WITH                 -0-
                         ----------------------------------------
                         8    SHARED DISPOSITIVE POWER
                              850,000
- -----------------------------------------------------------------
9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
     850,000
- -----------------------------------------------------------------
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
     CERTAIN SHARES*

- -----------------------------------------------------------------
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
     4.9%
- -----------------------------------------------------------------
12   TYPE OF REPORTING PERSON*
     00
- -----------------------------------------------------------------
                    *SEE INSTRUCTION BEFORE FILLING OUT!<PAGE>
<PAGE>
CUSIP No. 45810N10                 13G       Page 3 of 11 Pages

- -----------------------------------------------------------------
1    NAME OF REPORTING PERSON
     IRS IDENTIFICATION NO. OF ABOVE PERSON

     Lion Investments Limited
- -----------------------------------------------------------------
2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*           
(a)/X /
                                                                 
(b)/ /
- -----------------------------------------------------------------
3    SEC USE ONLY

- -----------------------------------------------------------------
4    CITIZENSHIP OR PLACE OF ORGANIZATION

     United Kingdom
- -----------------------------------------------------------------
       NUMBER OF         5    SOLE VOTING POWER
        SHARES                850,000
     BENEFICIALLY        ----------------------------------------
       OWNED BY          6    SHARED VOTING POWER
         EACH                 -0-
      REPORTING          ----------------------------------------
        PERSON           7    SOLE DISPOSITIVE POWER
         WITH                 850,000
                         ----------------------------------------
                         8    SHARED DISPOSITIVE POWER
                              -0-
- -----------------------------------------------------------------
9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
     850,000
- -----------------------------------------------------------------
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
     CERTAIN SHARES*

- -----------------------------------------------------------------
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
     4.9%
- -----------------------------------------------------------------
12   TYPE OF REPORTING PERSON*
     00
- -----------------------------------------------------------------
                    *SEE INSTRUCTION BEFORE FILLING OUT!<PAGE>
<PAGE>
CUSIP No. 45810N10                 13G       Page 4 of 11 Pages

- -----------------------------------------------------------------
1    NAME OF REPORTING PERSON
     IRS IDENTIFICATION NO. OF ABOVE PERSON

     Eugene M. Weber
- -----------------------------------------------------------------
2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*           
(a)/X /
                                                                 
(b)/ /
- -----------------------------------------------------------------
3    SEC USE ONLY

- -----------------------------------------------------------------
4    CITIZENSHIP OR PLACE OF ORGANIZATION

     United States
- -----------------------------------------------------------------
       NUMBER OF         5    SOLE VOTING POWER
        SHARES                10,000
     BENEFICIALLY        ----------------------------------------
       OWNED BY          6    SHARED VOTING POWER
         EACH                 -0-
      REPORTING          ----------------------------------------
        PERSON           7    SOLE DISPOSITIVE POWER
         WITH                 10,000
                         ----------------------------------------
                         8    SHARED DISPOSITIVE POWER
                              -0-
- -----------------------------------------------------------------
9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
     10,000
- -----------------------------------------------------------------
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
     CERTAIN SHARES*

- -----------------------------------------------------------------
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
     0.1%
- -----------------------------------------------------------------
12   TYPE OF REPORTING PERSON*
     IN
- -----------------------------------------------------------------
                    *SEE INSTRUCTION BEFORE FILLING OUT!<PAGE>
<PAGE>
CUSIP No. 45810N10                 13G       Page 5 of 11 Pages

- -----------------------------------------------------------------
1    NAME OF REPORTING PERSON
     IRS IDENTIFICATION NO. OF ABOVE PERSON

     Morris Cheston III
- -----------------------------------------------------------------
2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*           
(a)/X /
                                                                 
(b)/ /
- -----------------------------------------------------------------
3    SEC USE ONLY

- -----------------------------------------------------------------
4    CITIZENSHIP OR PLACE OF ORGANIZATION

     United States
- -----------------------------------------------------------------
       NUMBER OF         5    SOLE VOTING POWER
        SHARES                5,000
     BENEFICIALLY        ----------------------------------------
       OWNED BY          6    SHARED VOTING POWER
         EACH                 -0-
      REPORTING          ----------------------------------------
        PERSON           7    SOLE DISPOSITIVE POWER
         WITH                 5,000
                         ----------------------------------------
                         8    SHARED DISPOSITIVE POWER
                              -0-
- -----------------------------------------------------------------
9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
     5,000
- -----------------------------------------------------------------
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
     CERTAIN SHARES*

- -----------------------------------------------------------------
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
     0.03%
- -----------------------------------------------------------------
12   TYPE OF REPORTING PERSON*
     IN
- -----------------------------------------------------------------
                    *SEE INSTRUCTION BEFORE FILLING OUT!<PAGE>
<PAGE>
CUSIP No. 45810N10                 13G       Page 6 of 11 Pages

ITEM 1.

     (a)  The name of the issuer is Integramed America, Inc. (the
"Issuer").

     (b)  The principal executive office of the Issuer is located
at One Manhattanville Road, Purchase, NY 10577.


ITEM 2.

     (a)  The names of the persons filing this statement are
London Merchant Securities plc ("LMS"); Lion Investments Limited
("Lion"); Eugene M. Weber ("Weber"); and Morris Cheston III
("Cheston").

     (b)  The principal business office of LMS and Lion is
located at 33 Robert Adam Street, London WIM 5AH, United Kingdom. 
The principal business address of Weber and Cheston is 50
California Street, Suite 3200, San Francisco, CA 94111.

     (c)  LMS and Lion are limited companies organized under the
laws of England and Wales.  Weber and Cheston are citizens of the
United States.

     (d)  This statement relates to shares of the Issuer's Common
Stock (the "Stock").

     (e)  The CUSIP number of the Stock is 45810N10.

<PAGE>
<PAGE>

CUSIP No. 45810N10                 13G       Page 7 of 11 Pages

ITEM 3.  If this statement is filed pursuant to rule 240.13d-
1(b), or 240.13d-2(b) or (c), check whether the person filing is
a:

     (a)  ___  Broker or dealer registered under section 15 of
the Act (15 U.S.C. 78o).

     (b)  ___  Bank as defined in section 3(a)(6) of the Act (15
U.S.C. 78c).

     (c)  ___  Insurance company as defined in section 3(a)(19)
of the Act (15 U.S.C. 78c).

     (d)  ___  Investment company registered under section 8 of
the Investment Company Act of 1940 (15 U.S.C. 80a-8).

     (e)  ___  An investment adviser in accordance with 240.13d-
1(b)(1)(ii)(E).

     (f)  ___  An employee benefit plan or endowment fund in
accordance with 240.13d-1(b)(1)(ii)(F).

     (g)  ___  A parent holding company or control person in
accordance with 240.13d-1(b)(1)(ii)(G)

     (h)  ___  A savings association as defined in section 3(b)
of the Federal Deposit Insurance Act (12 U.S.C. 1813).

     (i)  ___  A church plan that is excluded from the definition
of an investment company under section 3(c)(14) of the Investment
Company Act of 1940 (15 U.S.C. 80a-3).

     (j)  ___  Group, in accordance with section 240.13d-
1(b)(1)(ii)(J)

     If this statement is filed pursuant to 240.13d-1(c),
     check this box.  /_X_/.


<PAGE>
<PAGE>

CUSIP No. 45810N10                 13G       Page 8 of 11 Pages

ITEM 4.  OWNERSHIP.

Provide the following information regarding the aggregate number
and percentage of the class of securities of the issuer
identified in Item 1.

1)   LMS:

     (a)  Amount beneficially owned: 850,000.

     (b)  Percent of class: 4.9%

     (c)  Number of shares as to which the person has:

          (i)   Sole power to vote or to direct the vote: 0

          (ii)  Shared power to vote or to direct the vote:
850,000

          (iii) Sole power to dispose or to direct the
disposition of: 0

          (iv)  Shared power to dispose or to direct the
disposition of: 850,000

2)   Lion

     (a)  Amount beneficially owned: 850,000.

     (b)  Percent of class: 4.9%

     (c)  Number of shares as to which the person has:

          (i)   Sole power to vote or to direct the vote: 850,000

          (ii)  Shared power to vote or to direct the vote: -0-

          (iii) Sole power to dispose or to direct the
disposition of: 850,000

          (iv)  Shared power to dispose or to direct the
disposition of: -0-

<PAGE>
<PAGE>

CUSIP No. 45810N10                 13G       Page 9 of 11 Pages

3)   Weber

     (a)  Amount beneficially owned: 10,000

     (b)  Percent of class: 0.1%

     (c)  Number of shares as to which the person has:

          (i)   Sole power to vote or to direct the vote: 10,000

          (ii)  Shared power to vote or to direct the vote: 0

          (iii) Sole power to dispose or to direct the
disposition of: 10,000

          (iv)  Shared power to dispose or to direct the
disposition of: 0

4)   Cheston

     (a)  Amount beneficially owned: 5,000

     (b)  Percent of class: 0.03%

     (c)  Number of shares as to which the person has:

          (i)   Sole power to vote or to direct the vote: 5,000

          (ii)  Shared power to vote or to direct the vote: 0

          (iii) Sole power to dispose or to direct the
disposition of: 5,000

          (iv)  Shared power to dispose or to direct the
disposition of: 0

ITEM 5.  OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS

If this statement is being filed to report the fact that as of
the date hereof the reporting person has ceased to be the
beneficial owner of more than five percent of the class of
securities, check the following /___/.

ITEM. 6.  OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF
ANOTHER PERSON

Not applicable.
<PAGE>
<PAGE>

CUSIP No. 45810N10            13G            Page 10 of 11 Pages


ITEM 7.  IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY
WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT
HOLDING COMPANY

Not applicable.

ITEM 8.  IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE
GROUP

Not applicable.

ITEM 9.  NOTICE OF DISSOLUTION OF GROUP

Not applicable.

ITEM 10.  CERTIFICATION

By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were not acquired and
are not held for the purpose of or with the effect of changing or
influencing the control of the issuer of the securities and were
not acquired and are not held in connection with or as a
participant in any transaction having that purpose or effect.


SIGNATURES

DATED:    March 16, 1998

London Merchant Securities plc

By:  /s/ Robert A. Rayne
     Robert A. Rayne
     Director

Lion Investments Limited

By:  /s/ Robert A. Rayne
     Robert A. Rayne
     Director


/s/ Eugene M. Weber
Eugene M. Weber


/s/ Morris Cheston III
Morris Cheston III<PAGE>
<PAGE>
                              13G

CUSIP No. 45810N10                           Page 11 of 11 Pages

                                                       EXHIBIT A
               AGREEMENT REGARDING JOINT FILING
               OF STATEMENT ON SCHEDULE 13D OR 13G

The undersigned agree to file jointly with the Securities and
Exchange Commission (the "SEC") any and all statements on
Schedule 13D or Schedule 13G (and any amendments or supplements
thereto) required under section 13(d) of the Securities Exchange
Act of 1934, as amended, in connection with purchases by the
undersigned of common stock of Integramed America, Inc.  For that
purpose, the undersigned hereby constitute and appoint London
Merchant Securities plc, a limited company organized under the
laws of England and Wales, as their true and lawful agent and
attorney-in-fact, with full power and authority for and on behalf
of the undersigned to prepare or cause to be prepared, sign, file
with the SEC and furnish to any other person all certificates,
instruments, agreements and documents necessary to comply with
section 13(d) and section 16(a) of the Securities Exchange Act of
1934, as amended, in connection with said purchases, and to do
and perform every act necessary and proper to be done incident to
the exercise of the foregoing power, as fully as the undersigned
might or could do if personally present.

DATED:    August 19, 1997

London Merchant Securities plc

By:  /s/ Robert A. Rayne
     Robert A. Rayne
     Director


Lion Investments Limited

By:  /s/ Robert A. Rayne
     Robert A. Rayne
     Director


/s/Eugene M. Weber
Eugene M. Weber


/s/ Morris Cheston III
Morris Cheston III


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