Request an Appointment with a Midwife

During these difficult times the Practice continues to encourage all Patients to seek our help when required. We are however facing a high level of demand which means that there may be a delay in responding to your request, all requests deemed by a Doctor to be urgent will be dealt with immediately. Thank you for your patience and understanding.

Throughout the pandemic your practice doctors and staff have continued to see patient’s face to face when necessary and will continue to do so. Before being offered an appointment a doctor will contact you to ensure a face to face appointment is clinically necessary.

Demand for the practice’s services has increased greatly recently and we would ask that requests are for appropriate conditions. Thank you for your patience.

Patients do not need to attend the surgery on discovering they are pregnant, though they are welcome to. Patients can self refer to Epsom Hospital, St Helier Hospital or Kingston Hospitals using the forms below:

If you are already under one of the hospital teams and would like an appointment with the midwife based at the surgery, then please complete our form.

Request an Appointment with a Midwife

Request an Appointment with a Midwife


Have you already self-referred to a hospital? *
Please use date format DD/MM/YYYY
Would you like to self refer now? *

You should self-refer to whichever hospital you want to have the baby when you discover you are pregnant. You do not need to see the GP unless you have any medical concerns.

Visit the relevant hospital website to find the self-referral form and further information: