Midwife Referral Form

Congratulations on your pregnancy!

Please complete the initial midwife referral form attached and hand it to the reception staff.

One of us will contact you as soon as we pick up your form to arrange your first appointment, which is usually between 8 – 10 weeks of pregnancy (please note this may be from a no caller ID)

We will arrange this appointment to visit you at home to complete your booking; the appointment takes approximately 1 hour. If visiting you at home is not convenient then an alternative can be arranged.

It is advisable that you take folic acid 400 micrograms everyday up until 12 weeks of pregnancy confirmed by your dating ultrasound. It is also advisable that for your whole pregnancy you take daily vitamin D supplements of 10 micrograms.

For advice on foods to avoid in pregnancy please look at NHS UK Foods to avoid in pregnancy

We also have a Facebook page, Gateshead Health Maternity.

We are based at Tyne View Childrens Centre in Gateshead. If you need to contact us, we are available 8:30 am – 16:30 pm Monday to Friday 0191 4455306. A message can be left if we are not around.

Community Midwives.

Complete the Midwife Referral Form

This information is required to initiate Antenatal care with a hospital provider. Please download and complete all fields as accurately as possible and hand into reception.