top of page

apply for care

intake form

Congratulations on your news!

 

In Alberta, families choose either a Midwife or a Physician for their maternity care. To apply for midwifery care, please complete this form.

​

Do you have Alberta Health Care?
Pronouns
Date of birth
Year
Month
Day
Multi-line address
Your due date
Year
Month
Day
Have you had a Caesarean birth?
Preferred location of birth?
Team Preference
Have you had care from Birth Partnership Midwives before?

We love our work and share a passion for honouring the transformative power of birth. You can expect care that supports your physical and emotional well-being, inclusiveness, and choice.

bottom of page