Welcome to the Intake Form for OMC's Well-Women Equity in Health (WEH!) Initiative. Our WEH! Initiative provides well-woman care to Akwesasne community members who experience health inequities in the current healthcare system. Following submission of this intake form, careful review is taken by our Lead Midwife and we then will email you with a pickup time for your gift certificate cards for our partnering organizations. After receiving the cards, you can schedule your appointments with the partner organizations! Its that easy! Please fill in the information below to get started!