It is important you fill out this form as fully and as honestly as possible. This will ensure we can offer the most appropriate care for you and your baby.
If you do not receive a confirmation email or you see an error message when submitting this form, please contact the community hub team on 01284 713755.
Please only complete this form if you are planning to give birth at West Suffolk Hospital or at home. If you are choosing to birth at another hospital, you will need to complete their maternity referral form instead.