Thank you for your interest in receiving care from Ottawa South Midwives!

Keeping your personal health information safe is very important to us. This form is secure and encrypted. If you would prefer to complete your intake over the phone, please call our office at (613) 822-6646.

Please fill in all required information. A copy of your responses will be sent to the email you provide, which will also serve as confirmation of your request for care.

A member will contact you within 3-5 business days to advise you if we have a spot on one of our teams, or if you have been placed on our waitlist. 


If you are placed on our waitlist, our staff is unable to provide information about how many people are before you on the list, as it is constantly changing. Please rest assured that we want you to have a midwife too – we’ll be sure to contact you as soon as possible if a spot becomes available.