Request Care | Self-Referral

Thank you for your interest in postpartum care at Bloom Collaborative Clinic. 
Please complete the secure self-referral form below to request care. We’ll review your information and respond within 2-3 business days.​

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• All information shared is confidential and used only to coordinate your care.

• MSP-covered and private-pay options available.

• No referral needed for full postpartum care from after hospital discharge through six to eight weeks postpartum. Ideally, we would love to meet you in your third trimester before your baby arrives!

• MSP-covered lactation consultations require a referral when clients are continuing postpartum care with another primary care provider.

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If you are a healthcare professional, please use the Professional Referral Form.