Depending on where you live, you may be able to selfrefer see below or you may need to visit your gp or consultant first. As a specialist trust, we receive many referrals by letter from consultants at other hospitals. We will inform your gp that you are pregnant and to share relevant health information. Imperial college healthcare nhs trust refer to this service. At this appointment your individual plan of care will be discussed with you and plans made for your future appointments. Physiotherapy is available free of charge on the nhs throughout the uk. Hi, at my booking in appointment with the mw on monday, she told me they used hand out a booklet with a week by week guide to pregnancy. This applies to your first appointment for each pregnancy only. The following data on pregnancy related referral in tanzania provide an overview of levels and categories of referral in a rural african district jahn et al. Norfolk and norwich university hospitals nhs foundation. Please allow 14 working days for us to process your maternity referral form after which you should receive your booking and scan appointment dates. Maternity selfreferral university hospital southampton. The form asks you questions about yourself, your family and your medical background. After completing the form, you should contact your gp or childrens centre to arrange your first appointment with a midwife by the time you are 10 weeks pregnant.
If youre at least six weeks pregnant, you can refer yourself directly to our maternity service using this form. The british pregnancy advisory service bpas provide a useful fact sheet and a free, confidential advice and support service for all pregnant women. Online selfreferral form for maternity services lewisham. Adult weight management selfreferral weight management information childrens health alive and kicking. To book in for care, and to find out more, visit our maternity page here. Gpfamily planning referral over 12 weeks gestation treatment only this model would compliment a local nhs provision which goes up to 12 weeks gestation. If you decide to continue with the pregnancy, there are a wide range of services to support you during pregnancy and after youve had your baby. Unplanned pregnancy and abortion sexual health services.
Treatment options will depend on how many weeks pregnant you are. This form enables you to book yourself into worthing hospital or st richards hospital, chichester for the birth of your child. The information you provide will be placed in your medical records and only accessed by staff involved in your care. Delivering a healthy start for pregnant women, new mums, babies and young children hs52a read more a guide for health professionals. If you do not hear from us within this time please call us on 020 3447 9400. Screening tests offered during and after pregnancy maternity selfreferral form if this form does not display properly please click here to view it as a webpage. Complete our pregnancy self referral form online call us for referral advice.
Youll find your local education department in the phone book under the. Please complete this form, giving as much detail as possible so that we can ensure the. Enter your nhs number if known enter your hospital number if known can we contact you via email. Its sometimes called pregnancy care or maternity care. Reading well books are available free from your local library.
New pregnancy books hit the market every five minutes, and older versions release newandimproved editions constantly, so the book i read back then might not really resemble the current edition on the shelf today. We do not accept transfers of care for caesarean section or maternal request for no medical indication for office use only date referral received. Southend university hospital maternity self referral. This book brings together everything you need to know to have a healthy and happy pregnancy, and to make sure you get the care that is. Appointments for the bedford clinic, where we care for women seeking a termination of pregnancy, are administered through a central referral system telephone 0151 702 4184. All urgent referrals are seen within 48 hours of referral. You can also contact our maternity team directly by calling 07787 841 986. To register for pregnancy care with one of our community midwife teams, please use the online self referral form at the bottom of this page. We advise all pregnant women to take folic acid tablets for the first 12 weeks of their pregnancy. The document outlines the categories of referral and provides process maps detailing referral pathways. Your midwife will make an appointment to see you at the start of your pregnancy. You can refer yourself to have your baby at medway by simply completing the online referral form in the above link.
Kings college hospital antenatal selfreferral kings. Due to nhs cut backs, rather than giving out a hard copy to everyone you now have to download it from the nhs website. Your completed referral form can be posted, emailed or faxed to us using the details below. East kent hospitals university nhs foundation trust.
Referral information liverpool womens nhs foundation trust. Pregnancy preregistration self referral form please bring this form to your appointment, or to the antenatal booking office open monday friday, 9am 4pm at 1st floor lanesborough wing, st georges hospital, blackshaw road, london sw17 0qt, or email. If you would like to have your baby with us please complete the online self referral form below. Princess royal university hospital antenatal selfreferral. Women can refer themselves to our service by completing a selfreferral form. You can selfrefer by making direct contact with a midwife by calling the hospital on 020 3447 9400 or by completing the online selfreferral form.
Maternity self referral east sussex healthcare nhs trust. Selfreferral service ashford and st peters hospitals. Feeling very tired it is common to feel tired, or even exhausted, during pregnancy, especially during the first 12 weeks or so. About the trust news maternity online selfreferral service launched visiting restrictions essential visitors only to help us keep our patients, staff and visitors safe, stop the spread of coronavirus covid19 and keep our hospitals running, we are restricting visiting to essential visitors only click here for more information. Maternity selfreferral the hillingdon hospitals nhs.
Pregnancy problems hellp or choleostasis sickle cell or thalassemia exposure to tb thrombosis blood clots thyroid problems other provide details medication in the last 12 months folic acid tablets start date dose vitamin d start date. It also addresses several minor or common complications of pregnancy. Referrals for patient appointments come to us in different ways depending on the nature of the referral or the specific procedure being requested. To book your pregnancy care you do not need a referral from your doctor. Self referral form health and social care in northern. We advise all pregnant women to take folic acid tablets for the first twelve weeks of their pregnancy. After discussing your symptoms with your doctor, they may then refer you to a physiotherapist. This form will work on all modern browsers including chrome, firefox, opera and internet explorer 10 or higher. Our aim is to ensure you receive maternity care in the right place, with the right people looking after you and your baby. If you do not hear from the midwifery team within two weeks of completing your selfreferral, please contact us on the following telephone numbers according to your home address. We will contact you within 5 working days regarding your antenatal booking. Online self referral form for maternity services please complete this form, giving as much detail as possible so that we can ensure the best pathway for your maternity care. The pregnancy book, including the mothers and fathers, medical and health professionals, and the. Were very proud of our women and familyfriendly maternity care, and we look forward to welcoming you.
Whatever you want to know about getting pregnant, being pregnant or caring for your new baby, you can find it on nhs choices pregnancy and baby guidethere are also lots of apps available to choose from, giving you the ability to track your pregnancy and babys development with ease. You can selfrefer to our service in one of the following ways. If you are more than six weeks pregnant you can now book your maternity care directly with poole hospitals maternity services by filling in a self referral form the form asks you questions about yourself, your family and your medical background. East sussex healthcare nhs trust produces a wide range of information. Choose to have your baby with us guys and st thomas. Theyre available from bookshops and libraries, or you can buy them from the overcoming website. Did you know you can choose where you go for your maternity services. Thank you for contacting kings college hospitals ante natal referral team. At my booking in appointment with the mw on monday, she told me they used hand out a booklet with a week by week guide to pregnancy. Do you want to book for your care at hull university teaching hospitals nhs trust.
We are a regional, national and international referral centre. Once your referral has been received a booking appointment with a midwife will be sent out to you and ideally be completed before the week 10 of your pregnancy. Adult weight management self referral weight management information childrens health alive and kicking. The information you enter into this form will be used to prepare for your visit for the birth of your child. Princess royal university hospital antenatal self referral form you can choose to refer yourself directly to the antenatal services at princess royal university hospital, rather than via your gp. Client self referral, any gestation both consultation and treatment all undertaken on bpas premises. Your pregnancy university college london hospitals nhs. Having an abortion should not affect a womans ability to have a child in. Maternity online selfreferral service launched east.
If this form does not display properly please click here to view it as a webpage. Princess royal university hospital antenatal self referral form. How to refer university college london hospitals nhs. Selfreferral service poole hospital nhs foundation trust. Yes no are you considering any of the above screening tests. The pregnancy book st georges university hospitals nhs. Why western sussex and how to book your birth western sussex. Guidelines for consultation with obstetric and related. The quickest and easiest option for booking your first appointment is to refer yourself online using our quick and easy form. I did, however, page through a lot of pregnancy books while writing zero to forty. Self help therapies are psychological therapies that you can do in your own time to help with problems like stress, anxiety and depression.
The referral guidelines are based on best practice and were compiled by the ministry of health with input from an expert working group including midwifery, obstetrics, paediatrics and anaesthetics as well as consumer representatives. Referral information as the largest trust in the uk specialising in the health of women and babies, we care for around 50,000 patients each year across all clinical areas. Booking to have your baby with western sussex hospitals nhs trust. Selfreferral service for lancashire teaching hospitals includes royal.
Questions marked by are mandatory we ask you to please complete this self referral from before the end of your 9th week of pregnancy where possible. Does anyone know where i can get a copy or have a spare one kocking about. Day assessment unit for urgent advice during pregnancy. Maternity selfreferral form norfolk and norwich university. These books and cds are recommended by reading well and cover more than 30 common mental health problems, including anxiety, low selfesteem and grief. Everyone working at the trust must keep your information confidential and secure and share it only when necessary to provide you with the proper care during your stay. At times it can feel overwhelming and its hard to know who is right when people say different things. Every pregnancy is different and you may experience all, some or none of these signs. Your pregnancy the hillingdon hospitals nhs foundation trust. Screening tests offered during and after pregnancy maternity self referral form if this form does not display properly please click here to view it as a webpage. Alternatively, please call 020 33 5222 from monday through friday, 10.
Screening tests offered during and after pregnancy maternity self referral form. This form enables you to book yourself into worthing hospital or st richards. Pregnancy self referral form st helier hospital note. Barnet hospital maternity services self referral form. Ideally you should be seen by a midwife by the time you are 10 weeks pregnant, or as early into your pregnancy as possible.
Gp name gp address gp phone number once you have completed this form, please save it in a safe place and then email it to direct. After completing the form, you should contact your gp or childrens centre to arrange your first appointment with. Click here to complete our online selfreferral form. You can choose to refer yourself directly to the antenatal services at princess royal university hospital, rather than via your gp. If your risk of having a child with a spinal cord problem is increased then the dose is higher, 5mg a day you will need a prescription for a higher dose. It is really important for you and your babys health that you start your antenatal care early in pregnancy in your first 10 to 12 weeks. If you are more than six weeks pregnant you can now book your maternity care directly with poole hospitals maternity services by filling in a. Pregnancy selfreferral form for st helier hospital epsom. We would advise you to read the now you are pregnant leaflet for birth place choices, click here. Finding out youre pregnant when youre a teenager can be very daunting, particularly if the pregnancy wasnt planned. To book your birth with us, please complete and submit the selfreferral form below.
If you are an enfield resident you can call 0345 365 1470, a 24hour booking line for a consultation. If you are more than six weeks pregnant you can now book your maternity care directly with poole hospitals maternity services by filling in a self referral form. Pregnancy selfreferral form for epsom hospital epsom. All women are advised to take folic acid up to 14 weeks of pregnancy.
A termination of pregnancy, commonly known as an abortion, is available via a self referral system on the nhs. We are aware of problems completing the date of birth field and the captcha verification letters at the end on some mobile browsers. Youll be offered appointments with a midwife, or sometimes a doctor who specialises in pregnancy and birth an obstetrician. Visit the nhs website for useful information on all aspects of pregnancy, for teenage parents. They can be a useful way to try out a therapy like cognitive behavioural therapy cbt to see if its for you. To book your birth with us, please complete and submit the self referral form below. Nhs teenage pregnancy support reading services guide.
Maternity selfreferral form maternity services services. If your risk of having a child with a spinal cord problem is increased then the dose is higher 5 mg a. Selfreferral service for lancashire teaching hospitals includes royal preston hospital and chorley and south ribble hospital as soon as you find out you are pregnant you have the option to book your maternity care directly with lancashire teaching hospitals instead of seeing your gp. About the trust news maternity online self referral service launched visiting restrictions essential visitors only to help us keep our patients, staff and visitors safe, stop the spread of coronavirus covid19 and keep our hospitals running, we are restricting visiting to essential visitors only click here for more information. This book brings together everything you need to know to have a healthy and happy pregnancy, and to make sure you get the care that is right for you. Antenatal care is the care you get from health professionals during your pregnancy. Sometimes emails accidentally get blocked or marked as spam. Details around how your information is used can be found in the your information, your rights leaflet. A pdf of the guide, also known as the purple book, is available.
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