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If you are interested in postpartum care for you and your newborn, please complete the registration form below. Our team will be in touch with you as soon as possible. If you have any questions, feel free to call us at (236) 477-8927 or email us at blumematernitycare@gmail.com

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When Is Your Due Date?
Year
Month
Day
Did You Already Deliver Your Baby?
Yes
No, I Am Still Pregnant
Do You Speak a Language Other Than English?

Important Note — Whenever possible, we will do our best to connect you with a midwife who speaks your preferred language. If that is not available, then we’re happy to use translation services to support communication during your visits.

Important Note — Please do NOT include any personal medical or health information on this form. Our team will reach out soon to collect that information securely from you.

BLUME MATERNITY CARE

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Surrey, BC

Phone: (236) — 450 —1372

blumematernitycare@gmail.com

Blume Maternity Care would like to acknowledge that we provide services within the ancestral, traditional, and unceded territory of the Stz'uminus, Kwantlen, W̱SÁNEĆ, S’ólh Téméxw (Stó:lō), Kwikwetlem, sc̓əwaθenaɁɬ təməxʷ (Tsawwassen), and Katzie First Nations. We are committed to offering care rooted in respect, humility, and cultural safety.

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© 2025 Blume Maternity Care. All Rights Reserved.

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