If you are in your first 20 weeks of pregnancy and looking for a midwife, use this form to apply to the Yukon Midwifery Program Filling out this application does not guarantee a spot in the program. After we receive your application, we'll contact you within 7 business days. If we are not able to accept you, we'll dispose of the information we collect in this application form in a secure manner.
Information contained in this form is collected, used and disclosed in accordance with Yukon’s Health Information Privacy and Management Act and other applicable laws. A written statement of Health and Social Services information practices can viewed at yukon.ca/healthprivacy or by contacting the department’s Privacy Officer at [email protected].
By submitting an application for the Yukon Midwifery Program, you're voluntarily consenting to Health and Social Services collecting, using and disclosing the personal health information you provide to assess your application. You may withdraw or limit this consent at any time by contacting [email protected], and without your consent, your personal health information can be collected, used or disclosed only in accordance with the provisions of this Act and the Regulations.
