Iron deficiency is one of the most common problems encountered in antenatal care, with approximately 18% of pregnancies experiencing iron deficiency without anaemia1, and 38% experiencing iron deficiency anaemia2. Iron is known to be critical for both maternal, foetal and neonatal morbidity and mortality, with foetal/neonatal iron deficiency influencing long term neurological outcomes.3 The two treatment modalities for iron deficiency are oral and parenteral, both of which have a role in the management of iron deficiency in pregnancy. Oral therapy is the mainstay of treatment. Parenteral iron reserved for patients who do not respond to oral therapy, or are inappropriate for oral therapy. This study aims to determine the efficacy of a structured request form to increase compliance with hospital iron therapy guidelines, and decrease inappropriate iron infusions. A two month period of iron infusions were audited against the hospital iron therapy guidelines to determine baseline compliance. Only 35% of iron infusions met the hospital guidelines. Prior to iron infusion only 44% of patients received an adequate trial of oral iron. Of those patients commenced on oral iron, only 53% had been compliant. The ferinject referral form led to a 27% increase in compliance with hospital guidelines (p=o.o53) and a reduction in total number of iron infusions by 52%, as well as a reduction in infusions for iron deficiency compared to iron deficiency anaemia p=0.14.