Hi, I am 25 and live in Ontario, in a rural area and I got a nuchal scan done at our local hospital (definitly no special equipment here) at 12+3 or so. I was given this option from my OB and it was an ultrasound combined with a blood test at 12-13 weeks and again at 18 weeks. I also got another routine ultrasound at 20 weeks. This should be offered to you as it is a part of routine health care and it is covered by OHIP. It is all called IPS screening. I had to call and set up the appointment but my OB faxed the refferal sheet to the hospital. Your midwife should do the same, i have now switched to a midwife and they fax all the refferals and I make the appointments so they fit in my schedule. Hope you get the screening if you want it.