Self-referral to Colchester maternity services

Refer yourself to our maternity service at Colchester Hospital

You can self-refer to the Colchester Hospital maternity service – you do not have to go via your GP.

The information you send to us will be treated in confidence. In order to provide appropriate care for you and your baby we may need to share information with the wider care team. We will take your submission of the form as an agreement to share your information.

How to self refer to Colchester Hospital maternity service

Complete the online maternity self referral form (Opens in a new window)

The form could take up to 10 minutes to complete. You will need information such as:

• your GP/doctor name and address
• your NHS number or hospital number if you have it
• any relevant medical or medication information about you
• information about any previous pregnancies
• details about your next of kin

Our response

Once you have submitted the form, our maternity team will respond to you via your preferred method of contact.

If you are not able to complete the online form, please contact the Colchester maternity services team.

If you have Diabetes

If you have diabetes, please also refer yourself to the North East Essex Diabetes Service (NEEDS).