Apply for Care

Please complete the form below to apply for midwifery care.

Any information submitted will be delivered confidentially to our registered midwife who will reach out by your preferred contact method to arrange your first appointment.

First name

Last name

Phone

Email

Do you have a preferred method of contact to schedule your first visit?

To maintain confidentiality, do you prefer that we DO NOT contact you by any particular method before your first visit?

Estimated Due Date

Are you or your partner members of the Innu Community?

Preferred Name (if different than legal name)

What are your preferred pronouns?

Is there anything else you would like us to know about you or your family before your first visit?

Innu

Midwifery Program

Apply for Care

Innu

Midwifery Program

SUPPORTING PARTNERS

INNU ROUND TABLE SECRETARIAT

INDIGENOUS SERVICES CANADA

MIDWIFERY ORGANIZATIONS

NATIONAL COUNCIL OF
INDIGENOUS MIDWIVES

ASSOCIATION OF MIDWIVES OF NEWFOUNDLAND AND LABRADOR

COLLEGE OF MIDWIVES OF NEWFOUNDLAND AND LABRADOR

CANADIAN ASSOCIATION OF MIDWIVES