Antenatal self-referral form
Use this online form to self-refer to maternity services at Queen Charlotte's & Chelsea and St Mary's hospitals. It is important to start your antenatal care early in your pregnancy, as soon as you find out you are pregnant.
Information for women who have self-referred between the 8th and 13th August
We discovered a temporary issue with our online maternity self-referral form. While the issue has now been resolved, if you submitted your form at any point from Saturday 8 August-Thursday 13 August, you’ll need to revisit the form to send this to us again or alternatively call our team on 020 3312 6135 if this is easier for you.
Please accept our sincere apologies for any inconvenience this has caused.
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