Client Intake Form

Secure Client Intake Form

Your privacy is important to us. Thames Valley Midwives will not share or sell your information with anyone else.

Please do not call our office regarding this submission – we will contact you if and when a spot becomes available. In the meantime, please continue to see your family physician or your current care provider.  You may also wish to contact other Midwifery groups in your area in order to place your information on their wait lists, as well.  Thames Valley Midwives will only contact you if a spot becomes available.