Princess Royal University Hospital antenatal self-referral form

You can choose to refer yourself directly to the antenatal services at Princess Royal University Hospital, rather than via your GP. Please complete this form, giving as much detail as possible so that we can ensure the best pathway for your maternity care.

Your details
Do you have any of the following special requirements? If "yes" please give details:
Need an interpreter
Learning Disabilities
Hearing Problems
Sight problems
Details about your GP
Your clinical details
Are you a sickle cell or thalassaemia carrier?
Have you have transferred your care from another maternity unit? If so please give details
12 week ultrasound

We offer an enhanced 12 week ultrasound at King's College Hospital, Denmark Hill carried out by a fetal medicine specialist. This is more detailed, gives results within an hour and gives you an opportunity to discuss the results with the same doctor. You can also elect to have a regular scan at Queen Mary's Hospital, Sidcup. Full details of the enhanced scan.