Welcome to Midwifery Services of Durham

Providing complete prenatal, labour and birth, and postpartum care for up to 6 weeks.

Office Hours: Mon-Wed: 9-5. Thurs 9-4:30, Fri-Sun: CLOSED

Durham: 905-427-5407

Markham: 905-209-0330

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Intake Form

Fields marked with an * are required

Congratulations and thanks for stopping by. We book clients in based on a a number of criteria, so please fill in all of the information below.Please note, by filling out this intake form this does not guarantee a spot will be available for your due date. Please allow 3 business days to receive a response.

Currently we do not accept clients over the phone or through our general email. If you have questions about Midwifery Care, please be sure to read through our website. If you had additional questions, please give our office a call.

 


Contact Information & Clinic Choice:

Please note that every Midwifery clinic has a catchment area. We only accept clients who live in the Durham Region & South York Region (EAST of the 404), including: Markham, Stouffville, Uxbridge and close surrounding areas. Proof of address will be required at each booking appointment.

If you live West of the 404 (Richmond Hill, Vaughan, Newmarket etc.) or in Scarborough. Please contact the Midwifery Practices that are within your catchment area.


Current & Previous Birth History

We'd like to get to know you! Please answer all the required fields below.


Current & Past Medical History


Thank you for taking the time to fill in our intake form. We will contact you within 3 business days.  Please note that due to the high demand for midwifery care, there is often a waiting list.