Follow the steps to fill out the Maternity Pre-admission Form.

1. Press the ‘Get Form’ button to access the Maternity Pre-admission Form and open it for editing.
2. Begin with the insurance information section. Indicate your payment responsibility by checking the appropriate boxes such as Ontario Health Card or other types of insurance. Provide your health card number and version code, and include the expiry date if applicable.
3. Fill in your personal information, including your name, date of birth, marital status, and preferred language. Ensure all details are accurately printed as this information is vital for your records.
4. Complete the permanent home address section, ensuring that the street address, city, province, postal code, and contact numbers are provided accurately.
5. List the names and contact information of at least two individuals to notify in case of an emergency. Include their relationship to you and confirm that their contact details are up-to-date.
6. Provide information about your family doctor and obstetrician or midwife, including their names and office phone numbers. This ensures the healthcare team has immediate access to your medical contacts.
7. Indicate your expected date of delivery, completing this with the day, month, and year fields.
8. If you have extended health insurance, fill out the relevant information regarding your policy, including the company name, policy number, and policy holder details.
9. Select your preferred accommodation type, keeping in mind that while every effort will be made to meet your request, availability cannot be guaranteed.
10. Review all fields for accuracy, then save your changes as required. You can also download, print, or share the completed form for submission.

Complete your Maternity Pre-admission Form online today to ensure a stress-free admission experience.