Client Intake Form
Clinic Reception Hours
To book appointments, our administrative staff can be reached during the following hours.
Monday – Thursday: 9:00am – 4:30pm
St. Jacobs Midwives
P.O. Box 190
9 Parkside Drive, Unit 2
St. Jacobs, Ontario, N0B 2N0
Please note: Our service area includes Kitchener, Waterloo, and Woolwich Township as well as parts of Wellesley and Wilmot Townships
Pregnant and looking for care? Contact us as soon as possible to check for availability.
If you are interested in becoming a client of St. Jacobs Midwives, please complete Intake Form below. When our administrator calls you within 3-5 business days, they will record more detailed information. Due to high demand, space is limited and may not be guaranteed.