Ready to Become a Client?

1. Online:

​Complete the Blossom Client Registration Form below and we will be in contact with you by email. 

​

2. By phone:

Give us a call us at (778) 297-1678 extension 2 between the following times:

​

MONDAY 10:00AM-2:00PM 

TUESDAY 9:30AM-5:30PM

WEDNESDAY 9:30AM-5:30PM

THURSDAY 9:30AM-5:30PM

Blossom Birth Program Client Registration
Do you have BC MSP?

When is your due date? 

Is this your first baby?
Where do you plan to give birth?
Please check this box if you are only applying for Postpartum (after-birth) care.
Are you fully aware of and consent to the use of Electronic Communication? https://www.blossombirthprogram.com/blossom-forms
4040-4000 No.3 Road
Richmond, BC, V6X 0J8
Tel:   778-297-1678
Fax:  778-297-1637
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