Screening information for you and your baby

Read the online Screening tests for you and your baby information before your midwife booking appointment to find out more about the screening tests and scans offered.

Scan the QR code or click on the link below

QR code for screening information

Screening tests for you and your baby (STFYAYB) - GOV.UK (www.gov.uk)

Antenatal self-referral form downtime

Due to scheduled website maintenance, the antenatalself-referal form will be unavailable on Wednesday 24 July between 10am and 12pm. 

Please submit your referral before or after this time. We apologise for any inconvenience. 

How to Refer to Us

Please complete our online form below.

Referral information Page 1

Note: Questions marked by * are mandatory








  Yes No
Do you have sight problems?
Do you experience hearing loss?


  Yes No
Are you or your partner currently taking non prescribed drug/substances?
Have you, your partner or one of your children ever had a social worker?
Do you have any of the following conditions: Diabetes
High blood pressure
Heart condition
Epilepsy
Sickle cell disease
Are you a sickle cell carrier?
  Yes No
Thalassaemia
Are you a Thalassaemia carrier?




  Yes No
Did you have any of the following conditions in your previous pregnancies? Diabetes
Pre-eclampsia
High blood pressure
  Yes No
Have you or your partner ever had depression, anxiety or mental health issues?
Is this an assisted conception pregnancy?
*