Refer yourself to our maternity services
Please tell us as soon as you find out you’re pregnant. It’s important you receive the right care early in your pregnancy.
You can refer yourself to our maternity services if you:
- live in Brent, Ealing, Harrow, or surrounding areas
- want to have your antenatal care at Central Middlesex Hospital or Northwick Park Hospital.
Important information about your self-referral
You may find some questions are difficult to answer. Your answers will help us give you the right care.
You have a legal right to care during your pregnancy: find out about your rights at birthrights.org.uk.
We will ask for your NHS number. You can find your NHS number at nhs.uk.
Check your details
Fill in the form as best you can.
Please check you’ve entered your correct name, date of birth, and contact details.
Giving us the right information means we can quickly talk to you about your pregnancy and care.
Help filling in this form
If you need help filling in this form you can:
- call 020 8869 2890
- email lnwh-tr.antenatalbookings@nhs.net.