This form, for all expectant mothers who have had a positive pregnancy test living the Stockton-on-Tees, Hartlepool, Easington and Peterlee region, will take approximately ten minutes to complete.
The form will give us vital information to help to allocate you to the correct midwife, who will contact you by letter within two weeks with a pre-booking appointment. At this group appointment (with other mums-to-be), you will be provided with relevant health education information and advice. You will then be booked in for a 90 minute one-to-one appointment with your named midwife who will be with you throughout your pregnancy journey.
Please make sure you answer ALL of the questions fully. We’ll only have take more of your time contacting you to find out any missing information.
It might be a good idea to remind yourself of your height, weight and when you had your last period – if you don’t include this, we’ll have to call to ask you anyway.
Are you getting your Healthy Start?
Vitamins are essential nutrients that your body needs do that it can work properly. Even though you can get lots of vitamins from a healthy balanced diet, you might not always get everything you need.
The NHS recommends specific vitamins for pregnant women. Your local council is working with local community pharmacies to provide Healthy Start vitamins free for you throughout your pregnancy.
Healthy Start vitamin tablets for women contain
Folic Acid – To reduce the chance of your baby having spina bifida, a birth defect where the spine does not form properly
Vitamin D – To help your body absorb calcium to keep your bones strong and help your baby’s bones to develop properly
Vitamin C – To help maintain healthy tissue in the body
Most local pharmacies are offering this service, but if you visit one that does not, they will be able to tell you the nearest pharmacy that does.
For more information visit
Healthy Start Website
You will need to know your height and weight before filling in this form.