Required
Required
Required
Required
Required
Required
Date of Birth Required
Interpreter Needed? Required
Required
Taking folic acid + Vitamin D (if your BMI is over 30, you are Epileptic or Diabetic you require 5mg folic acid) Required

*Should you require a higher dose of folic acid then you will need to contact your GP for a prescription.

Required
First day of your last period Required
Required
Required
Required
Required
Have you drank alcohol during your current pregnancy? Required
Are you aware of Drymester? Required

*Please see Drymester link at bottom of this page

Smoking status Required
Preferred place of birth Required
Privacy policy Required

For information on screening tests in pregnancy

Drymester (There’s no safe time and no safe amount to drink during pregnancy)