Intake Form

Step 1 of 7
PLEASE READ BEFORE APPLYING FOR CARE

If you are having an issue completing this application, please contact our office at 519-645-0316. Midwifery care spots are based on an applicant’s due date and the availability of a midwife for that due date. We only contact applicants if we have space for their due date and can accept them into our care. Our current capacity allows us to accommodate between 20 – 35 applicants each month. Due to the level of care and time spent with each client we unfortunately can’t accommodate every application.

Our catchment area is the City of London, if you reside outside of London, please also apply to the midwifery practice that serves your area.
https://www.ontariomidwives.ca/find-midwife.