Prenatal Education - Contact Form

* Email

* Phone Number

* First Name

* Last Name

Please note, the above name should be that of what is on your OHIP card

Due Date:

* Day

* Month

* Year

First Baby

Yes

I AM INTERESTED IN:

Building a Family

Labour Birth & Beyond (2 PARTS)

Part One - Mother and Baby Care After Birth
Weeknights from 7:30pm-9:30pm

Part Two - Labour & Birth
Saturday 9:00am-4:00pm OR
Weeknights 7:30pm-9:30pm

Additional Classes

Building a Family - Refresher Class

Are you delivering your baby at The Credit Valley Hospital

Yes

If No which hospital are you delivering at

* Who is your Obstretician or Delivering Doctor

* Verify Code

Additional Information