Intake Form

We collect information from you when you fill out a form or enter your information on our site. The information collected may include your personal health information (PHI). We use the information collected in this form solely to assess your request for Midwifery care. New Life Midwives may send periodic emails regarding your request for midwifery services. New Life Midwives is committed to protecting the privacy of all those who use our website. We will only collect personal information that is necessary to fulfill a service that you request. We will take all reasonable measures to protect the personal information that we collect. If you have any questions or concerns about us collecting or disclosing this information, please contact our office 905-419-3232 or email our office.