Midwifery Care - How to become a client / patient?

Midwifery care is free, safe, personalized care for your pregnancy, birth, and the first weeks of your baby’s life.

You can call us as soon as you find out that you’re pregnant! Your first appointment can be scheduled for your first trimester, depending on when you learn that you’re pregnant and when you call.

Become a Client

Name*
First Last
Address*
Street Address City Postal Code
Email*
Enter Email Confirm Email
Primary Phone Number*
Contact number to leave messages
Do you know your Estimated Due Date?*
- Yes
- No
Estimated Due Date*
MM slash DD slash YYYY
If no, please enter the first day of your last menstrual period.*
MM slash DD slash YYYY
Have you used Orillia Midwives before?*
- Yes
- No
Who was your primary Midwife?
Is this your first baby?*
- Yes
- No
If not, please let us know what number
Orillia Midwives is welcoming an Indigenous Midwife to our team, would you like to self-identify as Indigenous for the purpose of prioritizing your care with her?*
- Yes
- No
Any Additional Details of Importance?
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Once we receive this form we will be in touch within one week to collect more information and to potentially schedule your first appointment.

If you do not hear from us within a week, please give us a call at (705) 326-0000 or email at info@orilliamidwives.com

Become a Client

Midwifery care is free, safe, personalized care for your pregnancy, birth, and the first weeks of your baby’s life.

Become a Client

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