Maternity Self-Referral Service


As soon as you have a positive pregnancy test you can now refer yourself directly for maternity care at Lagan Valley Hospital, Lisburn.

Please complete the form below and upon receipt of it Lagan Valley midwives will arrange the first booking appointment for you, and also notify your GP of your pregnancy.






Self-Referral Form

Please return your completed form by post to:

Midwifery Led Unit
Lagan Valley Hospital
39 Hillsborough Road
Co Antrim
BT28 1JP

Alternatively, you can email completed forms to: