Intake Form

If you are pregnant and looking for a midwife at Sages-Femmes Rouge Valley Midwives, you are welcome to either call us directly, or to complete the intake form below.  Either way, we’ll contact you within 7 to 10 days to let you know if there is a midwife available  and to book your first appointment with her.  Please call us if you haven’t heard from us within this time frame.  Please also note that the intake form information will be sent to us by regular email, and has no added security measures.  

Below is a due date calculator which you might find useful in finding your estimated due date:

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