Maternity Self Referral

Everyone who is newly pregnant needs to complete an online maternity self-referral form.

Please follow the link: WWL Teaching Hospitals NHS Foundation Trust | Maternity Self Referral Form

Or

Go on the Wrightington, Wigan and Leigh NHS Trust website

• On the home page, look on the blue banner for the tab ‘contact us’
• Click on ‘contact us’ and from the drop-down menu, select ‘maternity self-referral form’