Registration Form

Thank you for your interest in our practice. The information you submit on this form will be kept confidential. We will review the list and our availability based on your due date. If you have not heard from us within two weeks, please contact us at (416)232-5455 or info@themidwifeclinic.ca.

Please be advised that some women will not be eligible for care by East Mississauga Midwives based on existing health issues, including but not limited to women with:

- serious medical conditions, including cardiac disease, renal disease, insulin-dependent diabetes, hypertension, epilepsy;
- a history of uterine surgery other than one previous lower segment caesarean section;
- body mass index at or above 40kg/m2; or
- significant use of drugs, alcohol or other substances which may adversely affect fetal development.
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