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Midwife/Antenatal Self Referral

Congratulations on your pregnancy. You don’t need to see the GP when you get pregnant, although we are always happy to see you.

Please fill the form to register for your initial Midwife appointment.

Once this form is submitted, the midwifery team will contact you within 5 working days to arrange a booking appointment for when you are between 8 and 10 weeks pregnant. At this appointment you will be given further information about the antenatal care you will receive during pregnancy. You will also be offered an ultrasound scan at around 12 weeks to ascertain when your baby is due.

If you have difficulties answering the questions on the form, any concerns, or have not heard from the midwifery team within 5 working days, then please contact the Bluebell Birth Centre (the midwifery base at Warwick Hospital) on 01926 495321 ext 6977 and they will assist you. The midwifery team can also be contacted via email at AmethystMidwiferyPractice@swft.nhs.uk

Midwife Booking Form

You may find this on a repeat medication list or hospital/ GP letter

We recommend you stop smoking, please contact your Midwife or the GP if you would like help with this.

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