Apply for maternity care or a midwife

Request maternity care or a midwife

You can rely on professional maternity care and/or a midwife through Helan. Request maternity care from a maternity care assistant and/or a midwife in good time using this form. A staff member will contact you as soon as possible.

The request must always be made in the mother’s name. If there is no mother, the request can of course be made in the name of the father or co-parent.

Fill in the required fields indicated with a *

My details

First name*

Last name*

Street*

House number*

Box

Postcode*

City / Town*

Email*

Phone number*

National register number

I need*

Expected due date*

Day *

Month *

Year *

Preferred contact method

via my email address

by phone

Additional information

Receive up to €300 in reimbursements

To support you as well as possible, Helan provides a reimbursement of €5 per hour, up to a maximum amount of €150 per year (or a maximum of 30 hours), per parent affiliated with Helan Health Insurance.

Important to know

With Helan maternity care, you get extra hands at home to help care for your baby, keep an eye on their wellbeing and support you with light household tasks. Do you need medical support before, during or after the birth? Then you can rely on guidance from a midwife.