PLEASE COMPLETE THE BELOW FORM AND ENSURE THAT YOU CLICK 'SUBMIT' WHEN YOU HAVE POPULATED ALL THE REQUIRED FIELDS.
YOU WILL BE PROVIDED WITH TWO KITS, ONE FOR CHLAMYDIA AND GONORRHOEA AND A BLOOD TESTING FINGER-PRICK WHICH WILL BE TESTED FOR A COMBINATION OF HIV, SYPHILIS, HEPATITIS B AND HEPATITIS C BASED ON YOUR ANSWERS TO THE QUESTIONS BELOW.
Please note if you are under 16 we do not provide home screening kits because we would like to see you in person
Please book online or walk in to one of our clinics




(Research shows that the swab test may be slightly more sensitive at detecting vaginal chlamydia infections)