Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Yeovil Hospital Maternity Self-referral Form

Congratulations on your pregnancy.

Due to the current situation with Coronavirus we have had to temporarily suspend Face to Face bookings. Please continue to complete this form. You will receive a date and time of booking but it will be via telephone. Please have details of your medical history including your height and weight ready. Thank you for your understanding at this difficult time.    

Please complete the referral form with as much information as you can so we can ensure you receive the most appropriate care.

Your referral will be processed within 3 working days of receiving it. You will receive a text or an email with the date and time of your first midwife booking appointment for when you will be between 8-10 weeks pregnant which will be held at YDH.

All scans and Consultant appointments will be held at the hospital you chose to have your baby at.


The process is slightly different if: