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Printed at: 10:35:41 / 28-07-2021

Antenatal Self-referral Form

Please complete this form in order to make a self referral for antenatal care at Milton Keynes University Hospital. In order to help us understand your individual needs, please answer the questions as fully as possible. This will ensure that you are booked for the most appropriate care.

Some of the questions you will be asked are in order for the team at the hospital to be able to provide you with the best possible care and ensure you are looked after by specialists if necessary.

Booking early in pregnancy has benefits for you and your baby. Prompt access to maternity care enables the timely offer of antenatal screening tests. Screening tests are offered during pregnancy to find any health problems that could affect you or your baby. For more information on the screening tests that are available for you and your baby click here.

If you would like advice on weight management during your pregnancy, MoreLife offer a free service for those who live in Bedford Borough, Central Bedfordshire or Milton Keynes. For more information and to refer yourself to the service, visit the MoreLife website.