Renew, Reclaim, Recharge Booking Form
  • Renew, Reclaim, Recharge Booking Form

    BREATHE Midwives Focusing on Supporting BIPOC Health and Wellness:
  • Lets make self-care a priority!

    Welcome. We are so excited to be offering this service. Please book a massage below for yourself, your little one or both of you. This is open to young and young at heart!

    Please note to allow everyone the opportunity to have access to a massage, we are limiting one massage per our Renew, Reclaim, Recharge series. We hope to be able to expand this service in the near future.

    Individuals who identify as African, Black, and/or Black-Caribbean will be given high priority. Individuals who identity as IPOC may access the services.

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  • Your Information

  • This appointment (or other visits) does not mean I now have a permanent caregiver should I not have one. I know that I can utilize the services of the clinic when available but understand that it is recommended that I seek ongoing care in my community or can request a referral to one if needed.

    I can only access care and services when I am at the BREATHE Midwives clinic or have a scheduled follow up appointment during this program in person or virtually.

    I understand that this is a free services as part of the BREATH Initiative to provide access to care to individuals that are African, Black and/or Black-Caribbean. I understand that the program will have some limited spots open to individuals who identify as IPOC who may benefit to access. I understand if I do not met the criteria of the program my appointment may be canceled.

    Code of Conduct
    We expect all individuals, staff, volunteers and students at our clinic, during home, or hospital visits to feels safe and free from bullying or anti-discrimination, and anti-racist behaviours. Disrespectful and unsafe behaviours will not be tolerated. This includes but not limited to:

    swearing, cursing, yelling with other individuals, staff, volunteers, and/or students

    excessive arguing with other individuals, staff, volunteers, and/or students

    intimidation, issuing threats, ultimatums,

    derogatory, racist, homophobic remarks

    physically/sexually abuse

    unsafe/dangerous behaviours

    taking phone call or texting during appointments

    Individual(s) who do not comply will not be seen by our staff and will be asked to leave the clinic immediately. Should these behaviours occur during the hospital or home setting, the staff providing care may leave and you will no longer receive care in those settings.

    For questions regarding our course code of conduct, feel free to email

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