Updated: Updated the email address and phone number for getting a password to complete form HSA4 online.
Under the terms of the Abortion Act 1967, as amended by the Human Fertilisation and Embryology Act 1990, only a registered practitioner can terminate a pregnancy.
Practitioners taking responsibility for the procedure must fill in the notification forms on this page.
Grounds for carrying out an abortionForm HSA1 and Form HSA2 are paper forms. Form HSA1 is for practitioners to certify their opinion on the grounds for an abortion. Form HSA2 is for emergency abortions.
Informing the Chief Medical Officer of an abortionPractitioners must notify the Chief Medical Officer of an abortion, using form HSA4. You can:
order copies of HSA4 by calling 0300 123 1002 fill in the form onlineTo fill in the form online, you’ll need a password from the Department of Health and Social Care.
Email: HSA4@dhsc.gov.uk
Telephone: 020 7210 6318
As abortion is an emotive subject, and to reduce risk to our staff, we don’t give a named contact.
Guidance on filling in the formsThis page also contains guidance for filling in each of the forms.
Abortion statisticsThe Department of Health and Social Care has a responsibility to monitor the Abortion Act and to publish statistics on abortions in England and Wales. We have processes for checking and monitoring the HSA4 forms that inform statistics.
Local copy of HSA1-form.pdf
Local copy of HSA1-from-1.doc
Local copy of HSA2-form.pdf
Local copy of HSA4-form.pdf
Local copy of Introduction_to_Completing_Abortion_Forms.pdf
Local copy of 2013_C_Guidance_note_for_completing_the_HSA1_and_HSA2_abortion_forms.pdf
Local copy of 2013_D_Guidance_note_for_HSA4_paper_form.pdf
Local copy of 2013_E_Summary_guidance_note_for_HSA4_Webform.pdf
Local copy of 2013_F_Detailed_guidance_note_for_HSA4_Webform.pdf
https://www.gov.uk/government/publications/abortion-notification-forms-for-england-and-wales
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