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Self-referral form

Please complete this self-referral form if you are interested in postpartum midwifery care (Ladner/Tsawwassen addresses only). Patients without access to primary care/difficulty accessing primary care during the first 6 weeks postpartum will be prioritized. 

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Contact Me

If you have any additional questions, please use the form below. 

Thank you! Your message has been received and we will be touch within 24-48h. 

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Fax (604) 909-4915 

© 2024 by Dayna Dueck.

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