Intake form

At Midwives of Mississauga, our aim is to respectfully serve our community’s diverse families including people of all ages, relationship statuses, income and education levels, abilities, ethnicities, faiths, sexual orientations, gender identities, body types, immigration statuses and life circumstances.

We want all individuals and families having low risk pregnancies to feel welcomed and to have access to midwifery care regardless of whether you are planning a birth at home or in hospital.  Our practice has privileges at Trillium Health Partners – Mississauga Hospital and Credit Valley Hospital. Everyone who comes into care is assigned to one of these 2 hospitals, even if you are planning a homebirth. We currently do not have a birth centre in Mississauga.

Please take the time to watch this video before submitting your intake form.

What to Expect from Midwives of Mississauga

Area of Service for Midwives of Mississauga

Midwives of Mississauga are only able to care for families that live in a defined catchment area. Please review this map to determine if you live in our catchment area. –

What Happens Now?

Thank you for completing our form!

Our staff will review the information, and be in touch via phone and/or e-mail typically within 2 weeks. Unfortunately, we are not able to accommodate everyone who applies and there is a chance you may be placed on a waitlist. Please continue routine prenatal care with a family doctor/nurse practitioner or other provider until you have been told you have a confirmed spot with our midwives.

We treat the information gathered on this Intake Form with strict confidentiality. Please note: If we are unable to accommodate you, we will be sharing your name, date of birth and postal code with the Ministry of Health. This information is shared to demonstrate the need for more midwives in our community.

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