Thank you for choosing West Herts as the place to have your baby. We aim to see all women before they are 10 weeks pregnant.

To make a self referral, please save the form below to your computer, complete it and email it back to

Self-referral form (right click, save link as)

Once you've downloaded the form, you can add your details by typing directly into it. Then hit the 'Save form' button in the top right, which will save your information onto it. Open an email application, attach the form to an email and send to

If you have an issue with the form, please call one of the following numbers:

  • Watford: 01923 217808.
  • Hemel Hempstead: 01442 287780
  • St Albans: 01727 897396

Please call Monday to Friday between 9am to 4.30pm.

Please note, it is recommended that all women who are planning a pregnancy or who are currently under 12 weeks pregnant take folic acid to reduce the risk of neural tube defects. If you are not currently taking any folic acid, please discuss with your pharmacist as soon as possible. Further information regarding folic acid can be found on the NHS website -Vitamins, minerals and supplements in pregnancy

How to get help

Refer yourself