№ files_lp_3_process_9_29700
Clinical referral form for specialist perinatal mental health services collecting patient, obstetric, psychiatric and risk information for assessment and care planning.
Country: United Kingdom
Region: Buckinghamshire
Organisation: National Health Service
Service: Perinatal Mental Health Team
Document Type: Medical Referral Form
Subject: Perinatal Mental Health Assessment and Care
Referral Urgency Categories: Emergency (within 4 hours); Urgent (within 2 calendar days); Routine (within 14 calendar days)
Contact Hours: Monday–Friday, 09:00–17:00; Out of Hours and Bank Holidays available
Required Information: Personal details, GP/referrer details, children details, reason for referral, risk assessment, psychiatric history, medication, family mental health history, physical and obstetric history, professionals involved
Target Group: Women in pre-conception, antenatal or postnatal period
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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