Booking your birth with us

So that we can make your first appointment to meet us, please complete the self-referral form providing as much information as possible. Questions marked with an asterisk are mandatory.

Details of your midwife booking appointment will be emailed to you within seven working days. Please do not contact the booking coordinator unless you have not heard from us in seven working days.

If you have difficulties completing this form, or have not received your midwife booking appointment, contact the booking coordinator on 01483 571122 ext. 4749.

If you have any urgent pregnancy concerns e.g. bleeding, pain, please call 24/7 advice line Call a Midwife on 0300 123 5473.

Online referral form

Note: Questions marked by * are mandatory

Royal Surrey NHS Foundation Trust privacy notices and data security statements can be viewed on our Information Governance webpages.​​​​​​​ You can view our Information Governance page by clicking here.







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