Breastfeeding Clinic Brantford & Hamilton
Intake & preparation

Your forms, all in one place

Filling these in before you come means more of your appointment is spent on you and your baby, and less on paperwork. Take your time โ€” you can stop and come back.

First, choose your clinic

The forms are slightly different for each location, so pick the one you're visiting.

Brantford Clinic โ€” 379 St. Paul Ave, Brantford. Open Mondays, Tuesdays and Thursdays, 9 am to 2 pm. Questions about a form? Text 226โ€‘450โ€‘0040 or email brantford.pediatrics@gmail.com.

Step 1 ยท Everyone

New patient registration

Your details, your baby's details and your health card. Fill this in once, before your first visit.

Open form
Step 2 ยท First visit

Feeding history โ€” first visit

How your birth went, how feeding has been going, and what's worrying you most. This is what we read before we meet you.

Open form
Coming back

Feeding history โ€” follow-up

A shorter update for return visits. Tell us what's changed since we last saw you.

Open form

Hamilton Clinic โ€” 1300 Garth St, Hamilton. Open Monday to Friday, 9 am to 3 pm. Questions about a form? Text 289โ€‘326โ€‘1257 or email rapidaccesspediatrics@gmail.com.

Step 1 ยท First visit

Initial visit form

Your details plus a full feeding history. This is the form to start with if you haven't been seen in Hamilton before.

Open form
Coming back

Follow-up form

A shorter update for return visits โ€” how feeding is going now, and what you'd like help with this time.

Open form
For care providers

Referral to the clinic

For midwives, family doctors, nurses and hospital teams referring a family to the Hamilton clinic. Parents don't need a referral to come.

Open form

Your information stays private. Forms are submitted securely and are only read by your clinic team. Please don't send health information by regular email or text.

Getting ready

What to bring, and what to expect

Nothing here is a test. If you forget something, come anyway.

Bring with you

  • Your baby's health card (or the application, if it hasn't arrived yet)
  • Your own health card
  • Any pumps, nipple shields or bottles you've been using
  • A list of any medications or supplements you're taking
  • Your partner, your mum, a friend โ€” whoever helps you

A few gentle tips

  • Come a little hungry. If your baby is due for a feed when you arrive, we can watch a real one.
  • Dress for easy access. A nursing top or anything that unbuttons at the front.
  • Write your questions down. They vanish the moment someone asks how you're doing.
  • Allow about an hour. We don't rush feeds, and we won't rush you.

Not sure which form you need?

Call or text us and we'll point you to the right one. It takes a minute.

Call us Start a form