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Chelsea and Westminster Hospital NHS Foundation TrustANTENATAL REFERRAL FORM (for C&W ONLY’T: 0208 846 7915/7916/7790 F: 0208 846 7910Referral From: (*GP & Surgery) PATIENT_Registered_GP PRACTICE_Name
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How to fill out maternity trauma and loss

01
Start by gathering all necessary documents related to the maternity trauma and loss, such as medical records, hospital bills, and any other relevant paperwork.
02
Fill out the required forms accurately and completely, providing detailed information about the event, medical treatment received, and any complications that arose.
03
Attach any supporting documentation, such as letters from healthcare providers or witness statements, to strengthen your claim.
04
Submit the completed forms and documentation to the appropriate department or organization handling maternity trauma and loss claims, ensuring everything is done within the specified timeframe.
05
Follow up regularly on the status of your claim and provide any additional information or documentation requested to facilitate the processing of your case.

Who needs maternity trauma and loss?

01
Maternity trauma and loss support is needed by women who have experienced complications during pregnancy, childbirth, or the postpartum period.
02
It is also sought by families who have lost a child due to miscarriage, stillbirth, or other pregnancy-related issues.
03
Healthcare providers, counselors, and support organizations may also benefit from resources and guidance on assisting individuals dealing with maternity trauma and loss.

What is Maternity trauma and loss care service - self-referral Form?

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Maternity trauma and loss refers to the physical and emotional impact experienced by individuals during pregnancy, childbirth, or the postpartum period, particularly in cases where there has been a miscarriage, stillbirth, or other traumatic events.
Individuals or healthcare providers who have experienced significant adverse events related to maternity such as stillbirths or miscarriages may be required to file for maternity trauma and loss, depending on jurisdiction and local regulations.
Filling out maternity trauma and loss typically involves completing a standardized form that includes personal information, details about the trauma or loss, and any required documentation from healthcare professionals.
The purpose of maternity trauma and loss is to document, monitor, and address the incidents of trauma and loss during maternity, improve healthcare practices, and provide support to affected individuals.
Information that must be reported includes the individual's identification details, the nature of the trauma or loss, dates of occurrence, healthcare provider information, and any related medical documentation.
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