Your Health

1

Do you have any concerns about your relationship or sexual partner(s) that you wish to discuss privately with a healthcare professional? *

2

How would you like to be informed of your results? *

Please provide your preferred method and contact details

3

Do you confirm that you will ensure that your test kit contains the pre-filled patient request form when sending your kit to the lab? *

The patient request form will list your full name, date of birth, title, gender, patient reference and type of test kit ordered. In the event that you do not receive this inside your order, contact our customer service team so that we can send the form via email.

4

Do you agree that? *

  • You are over 18 and the kit is solely for your own use
  • We have permission to contact you with your results via you preferred method of contact
  • By continuing, you agree to our Terms & Conditions, Cancellation Policy and Privacy Policy