Midwives of East Erie

Norfolk General Hospital Labour and Delivery has reopened as of November 21, 2022. Midwives of East Erie will resume low risk deliveries at NGH.

WE ARE COMMITTED TO YOUR INFORMED AUTONOMY

Experience expert pregnancy, birth and postnatal care. Established in 2004, the Midwives of East Erie was the first to proudly serve Haldimand and Norfolk Counties Ontario. With three conveniently located offices in Dunnville, Cayuga, and Simcoe we are committed to providing professional pre and postnatal care, empowering birth experience, and a safe health care environment to all our pregnant people and families. CALL US TODAY!

Affiliated with McMaster University, Midwifery Education Program, Department of Family Medicine, as a teaching practice.

Thank you for growing with us!

COVID-19 Information

Midwifery care is free in Ontario and all inclusive.

Fill out an 'Intake Form' (you can self-refer) or call us with any questions at (905) 701-7428.

Intake Form

* Indicates required field

Your Name (as it is appears on your Health Card) *

First

Last

Your Occupation *

Your Partner's Name *

First

Last

Your Partner's Occupation *

Health Card Number with the two letter code at the end *

Name of Family Doctor *

Location of Family Doctor *

Date of Birth *

Age *

Phone *

Email *

First Day of your last month's period: *

Have you had any prenatal care in this pregnancy? *

Yes No

If yes, by whom? *

Do you have any of the following medical conditions: diabetes, heart disease, epilepsy, high blood pressure, kidney disease or thyroid? *

Yes No

If yes, specify : *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Pre-pregnancy weight: *

Pre-pregnancy height *

Number of Times you have been pregnant (including this pregnancy) *

How many babies have you had? *

Are you a first time client? *

Yes Yes but have had midwifery care elsewhere No, I am a repeat client

Do you have any drug allergies or sensitivities? *

Yes No

If yes, specify: *

Any Problems with a previous pregnancy or birth: *

Where would you like to deliver your baby? *

If other, specify: *

Submit

We would like to recommend two things as part of your prenatal health:
1. Folate ( 400 micrograms) This is the natural form of folic acid. It may or may not be in the prenatal vitamin that you are taking. This is often available at health food stores, or health food sections of grocery stores.
2. Probiotics (see your pharmacist for recommended products)

You will be contacted within one week with the status of your intake. Thank you!

Pregnancy. Birth. Family

Intake Form

Office: (905) 701-7428
Fax: (905) 701-4400
midwiveseasterie@rogers.com

​Pregnancy. Birth. Family​

Intake Form

Office: (905) 701-7428​Fax: (905) 701-4400​midwiveseasterie@rogers.com

Pregnancy. Birth. Family

Office: (905) 701-7428
Fax: (905) 701-4400
midwiveseasterie@rogers.com