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Name: Address: NHI: DOB: Male / Female GP Area: OR PATIENT ID LABEL HEREPERINATAL MENTAL HEALTH REFERRAL FORM Client Name:Ethnicity:Client Contact No.: Client Address:Next of Kin Details: Name: Contact.

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Perinatal mental health (PMH) problems are those which occur during pregnancy or in the first year following the birth of a child.

Referral criteria 1. Women who are pregnant or are within the first post-partum year. 2. Women requiring secondary care support (assessed through risk of relapse, risk to self and others and/or estrangement from their infant and/or dysfunction in daily activities).

You can refer yourself to your local IAPT service – or your GP, midwife or health visitor can do this for you.

If help is required urgently or outside of these times, please contact the 24-hour mental health single point of access, you can call them on 0800 328 4444. Please refer yourself to the service if you are pregnant or if you have a baby who is 18 months or younger.

Perinatal and infant mental health (PIMH) refers to the emotional wellbeing of a woman, her partner and their infant from conception until 24 months postpartum. This period represents a transitional life stage that can be associated with increased vulnerability to experiencing mental health disorder.

Perinatal is the period of time when you become pregnant and up to a year after giving birth. You might also have heard of the following terms: Antenatal or pre-natal meaning 'before birth'

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232