
Midwifery INTAKE FORM
It is with great sadness that we announce that Bloom Community Midwives will be closing its doors as of June 30th, 2023.
Charlotte Grant RM (St Paul’s Hospital/home deliveries) will continue accepting full scope (prenatal/intrapartum/postpartum) intakes via Strathcona Midwives as she will move her practice (including all existing clients) to Strathcona Midwifery Collective as of July 1st, 2023. Please visit the Strathcona Midwifery Collective webpage to register for care with Charlotte Grant and her teammate Olivia Sims.
We will also try to accommodate requests for postpartum-only clients leading up to June 2023, so please apply through our intake form.
Your midwives have been honoured to care for you and your families over the years. We wish you all the best with your pregnancy journey and are beyond sad that we won’t be the ones meeting your babies!
Where do you plan to give birth? Please note that we are now accepting postpartum clients only.
If you wish to have prenatal/birth/postpartum care from Charlotte Grant/Team Lotus, please visit Strathcona Midwifery Collective's webpage.
Regarding your Current Pregnancy
When was the first day of your last normal menstrual period (day/month/year)?
What is your Estimated Due Date (day/month/year)
Have you had any tests yet in this pregnancy e.g. ultrasounds or blood work.
(If yes, which ones?)
Do you have any preferences for which Team or Midwife (postpartum care only)?
Do you have any serious medical or health issues we should know about?