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If you would like to have your baby with us please complete the online self-referral form below. This applies to your first appointment for each pregnancy only. Details around how your information is used can be found in the Your Information, your rights leaflet. If for any reason you are unable to complete the form, please either print a copy or contact your GP Surgery for a paper copy.

Rosabella
Age I'm 48 years old
Meeting with: I like man
My gender: Lady
Hair color: Strawberry-blond
I can speak: I understand English and Turkish
Zodiac sign: Leo
Other hobbies: Yoga
I have piercing: Ear lobe piercing

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