Download bpas referral forms
Our referral forms are available below, to download each form please click on the relevant format.
- HSA1 Form (available as a PDF or Word document)
- Termination of Pregnancy Referral Form (PDF or Word document)
- Vasectomy/ Female Sterilisation Referral Form (PDF)
Whichever way you or your client contacts bpas, our call centre will offer an appointment for a consultation at one of our consultation centres within a few days. There are no waiting lists and, in many places, you can arrange an appointment in the early morning, evening or at the weekend.
This first appointment provides an opportunity to confirm the pregnancy, take details of the woman's medical history and provide her with more information about the different methods of abortion available. The abortion will not be carried out at this first appointment.
If the woman decides to go ahead with an abortion, she will be offered an appointment at a bpas clinic, usually within a few days, where the procedure will be carried out.
bpas has consultation centres in England, Wales and Scotland. To view the locations, click here.