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Congratulations on the delivery of your baby!

Please take a moment to share the exciting news with us by filling the information below.

All information will be kept completely CONFIDENTIAL.

If you have any questions or concerns, please do not hesitate to contact us at: 905 896 7100 Ext 165.
 
Mothers Name *:
   
Mothers Birth Date (yyyy/mm/dd) *:
   
E-mail *:
   
Phone:
   
Babys Name *:
   
Weight (lbs or kg):
   
Sex:
   
Babys Birth Date (yyyy/mm/dd):
   
Method of Delivery
   
Any Abnormalities
   
Address:
   
Physician(s):
   
Additional Comments:
 
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