APAs are established based on community, client and/or provider need. This may include but is not limited to serving a population of clients with unique social and/or medical requirements, and/or sustainable practice amongst midwives and/or other perinatal care providers.
For more information and requirements for APAs, please review the Policy on Alternate Practice Arrangements (PDF).
Midwives interested in creating a new Alternate Practice Arrangement should submit a completed: Application to Establish an Alternate Practice Arrangement (PDF).
Midwives seeking to join an established APA for more than six months will each submit an individual: Application to Join an Established Alternate Practice Arrangement (PDF).
BCCNM staff are available to meet with midwives to discuss their applications prior to submission: please send inquiries to
firstname.lastname@example.org for more information.