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Please get in touch! 

Do you have any questions? Are you interested in using our services? 

Fill in the request for care (form below) or send us your questions.

***You will not get a confirmation that your request has been sent, so if you don't hear within a couple of weeks, please call or email us to confirm receipt.  Once the midwives have a chance to review your request, someone will reach out to you. ***

Request for Midwifery Care

Applications for midwifery care are reviewed regularly. You will be contacted within two weeks about your request.

Name as it appears on your health card*

Email Address

Cell phone number

Home phone number

Preferred phone number for us to contact you:

Street address*


Postal Code

What is your birth date?*

Health Card # and expiration date

First day of last menstrual period

Estimated due date

Do you have a 28 day menstrual cycle?

If not, how long is your cycle?

Name of family doctor or nurse practitioner

Is this your first baby?

If no, how many babies have you had?

Were they born on, before or after their due date?

If so, by how many days?

Do you have a serious medical condition?

Please list any medications you are taking

Have you ever been a client of Midwives of Muskoka?

If yes, who was your midwife and the year?

Have you ever received midwifery care from another practice?

Have you considered where you would like to deliver?

If Hospital, which one?

Have you had a previous c-section?*

If yes, are you planning another c-section?

Preferred pharmacy

Are you taking a prenatal vitamin?

Is there anything else you would like us to know?

Client Feedback

Dear Client,

The Ontario Midwifery Model of Care was created and designed with input from the childbearing population of Ontario in the 1980s and 1990s. Ontario Midwifery continues to respond to client suggestions and criticisms at all levels of implementation. At Midwives of Muskoka it is our goal to honour our own clients' perspectives by inviting every client to provide suggestions and feedback at any time during their course of care, should they wish.

You may contact us in several ways:

1. Speak directly to your primary midwife.

2. Speak to your second midwife or, if you wish, an impartial midwife who is not directly involved in your care.

3. Send us an email or leave a message on our phone (, 705-645-4011)

4. Fill in the attached feedback form (link below).

5. Once you have left midwifery care when your baby is around 6 weeks old, you will be sent a detailed quality of care feedback form in electronic format (paper copy available if you wish) which you can send back to us anonymously.

All feedback submitted via methods 1-5 is reviewed by practice midwives and comments/suggestions receive followup at the practice level. If you would like a midwife to contact you, please leave your contact information in the link below. (optional)

6. Contact the College of Midwives of Ontario for serious concerns (, 416-640-2252 ext 224,

Thank you for letting us know how you feel about your time with us. We appreciate that you have shared your thoughts.


Midwives of Muskoka

Name (optional)

Email Address (optional)


Midwives of Muskoka

8 Ontario Street

Bracebridge, ON

P1L 2A7

Phone: 705-645-4011

Fax: 705-645-6634


Office Hours

Mon-Thurs: 8-4 pm

A midwife is always available to clients by pager for urgent concern

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