Maternity Self-Referral

What will happen after I submit a maternity self-referral?

  • Your referral will be sent via email to where it will be processed by the maternity clerical team.
  • You will receive an email confirming that you have completed the referral, but the email will not include a copy of your confidential information.
  • Your referral will be uploaded to your hospital patient record.
  • You should receive a letter inviting you to see a midwife some time after you have reached your 8th week of pregnancy.

How we protect your data

By completing and submitting this form, you (or your representative, on your behalf) are consenting to the processing of your information for this service. We will ensure your personal information is secured using SSL (Secure Socket Layer) encryption which provides a secure link between our website and your browser. This ensures that all data passed between us remains private and can be verified by the https:// and padlock symbol that appear in the address bar. After submission, your personal information is handled according to our Trust policies and Data Protection Legislation. Find out more about how we process your confidential information.