Updated June 20/22: Due to COVID-19, only one adult support person may attend with you, children not allowed into clinic at this time.

Intake Form

Our practice provides service to women living in Oakville, Milton, west Mississauga and Burlington.

Street Address 1Street Address 2CityState / ProvincePostal / Zip CodeCountry
Attention: Please add our email address "info@haltonmidwives.com" to your address book or to your list of trusted senders to avoid missing important emails from us.
Enter Numbers between 20 - 45
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Attention: You are residing outside of Ontario or Canada. Please reapply when you are back, as we do not take clients who are not in the country at this time.