Pre-Appointment Questionnaire
Thank you for booking with The Pregnancy Clinic. Completing this questionnaire before your visit lets your consultant review your history in advance, so your appointment can focus on you, your pregnancy and your questions.
About 10–15 minutes
Three short sections: your details, your medical history, and your medication and consent. Please complete it before your appointment.
Useful to have to hand
- The date of your last period
- A list of your medications
- Any previous scan reports
Private and secure
Your answers are confidential, stored securely and seen only by our clinical team. Read our Patient Privacy Notice.
Need help or prefer to tell us over the phone? Call 01732 647072 or message us on WhatsApp. Please do not use this form for urgent concerns; contact your local maternity unit, or call 999 in an emergency.