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Request for Care

Therapy Session

Please fill below

Someone from our office will contact you by email within a week to discuss availability.

You should complete this form as soon as you are aware that you are pregnant.  You do not have to wait until blood test confirmation. All fields are required to submit.

What is the BEST way to reach you during the day, on week days?
Have you been cared for by an Ontario midwife in THIS pregnancy?
Do you have an Ontario Heath Card?

Thanks for submitting! We will contact you by email within a week.

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