Fill out an intake form for the
Fredericton Midwifery Centre

Please note that the association is separate from the Fredericton Midwifery Centre. To help make midwifery services more accessible, we have included here the intake form for your convenience. Please feel free to call the clinic to ensure your intake form was received by the clinic.

This form is sent through Squarespace. As such, we cannot guarantee the privacy of your personal health information contained within the form. If you prefer to email the form, find a link here and email directly to sagesfemmesmidwives@horizonnb.ca. If you prefer to fill out the intake form by email, call the clinic directly at 506-452-5896.

We will never sell or distribute your email or other information contained within this form. The Fredericton Midwifery Clinic or MANB may occasionally use your email for communications relevant to the clinic or events happening.