Intake form - Midwives of Mississauga

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 – Credit Valley Hospital. Everyone who comes into care is assigned to that hospital, 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. – https://tinyurl.com/yc47fb62

If you do not live in our catchment area, we encourage you to visit Ontario Midwives to find a midwifery clinic near you.

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. WE WILL ONLY RESPOND TO INTAKES THAT FALL WITHIN OUR CATCHMENT AREA. 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.

Our phone lines continue to be out of service due to unexpected delays with Bell Canada’s services as we upgrade our system. Our clinic administrators and midwives have spent considerable time working to escalate and resolve the issue with Bell and we are continuing to push for a prompt resolution.

We sincerely apologize for the inconvenience this maybe causing and appreciate your ongoing patience and understanding.

Our staff may reach out using their personal cell phones, so please be prepared to answer calls that display ‘No Caller ID/Unknown #’.

Thank you for your understanding and please know that we are equally frustrated!

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.