Forms

Online Forms

Please note:

Online forms can take up to 5 working days to be attended to, For anything urgent please telephone the surgery.

Cancel an Appointment Form

New Registration Form

New Patient Questionnaire

Change of Personal Details Form

Self-registration form for maternity care

 

This form can either be printed and completed as a paper copy or edited as an electronic copy.  Please complete the form as thoroughly as you can.  Once completed an electronic copy can be sent securely to bht.maternityreferrals@nhs.net or if you prefer it can be posted to us at:

               

               

Community Midwives,

                c/o Wycombe Birth Centre,

                Wycombe Hospital,

                Queen |Alexandra Road,

                High Wycombe, Bucks. HP11 2TT

 

If you chose to post your registration form please follow this up with a phone call to ensure that we have received it; our number is 01494 425172 Monday – Friday 08:30 – 16:00.

 

If you have any further queries, please do not hesitate to contact the Community Midwives Office using the telephone number above.

 

Self registration form v10 ooa included.docx

Complaint Form