Blackpool and Lancashire Sexual Health Service All Ages Screening Kit for all STI’s

To order a free full testing kit posted to your home address, please complete the form below. Please note that testing kits are avalable to Lancashire residents, excluding Blackburn with Darwen.

Note: Please do not order a postal pack if you already have an appointment or are planning on making an appointment at Sexual Health Services. If you are wanting to order a kit instead of attending then please cancel your appointment on 0300 1234 154.

Postal packs will be restricted to one order in any 3 month period and new packs will only be sent out if all previously ordered postal packs have been completed and returned.
Name*
First Last
Address*
Street Address City County Postcode
Sorry, testing packs are not available in your area.
Phone*
Email*
Date of Birth*
Age Range*
Testing kits are not available for under 16's. Please contact 0300 1234 154 for screening.
Ethnic Origin*
I am:*
What we test for:

The components of this kit allow us to test for:
- Chlamydia
- Gonorrhea
- HIV
- Syphilis
** For men who have sex with men we recommend further blood screening for hepatitis and vaccinations which are provided by visiting one of our services. For more details please contact 0300 1234 154**
Please tick the following to indicate which tests you require:*
Please select at least one of the following options:
- Chlamydia and Gonorrhoea
- HIV and Syphilis
There is a requirement that you return an adequate blood sample to be able to test for both HIV and Syphilis infections – please refer to the video below on how to complete this correctly:
Please select which kit components you require:*
We need to ensure that we send you the correct kit components to undertake your tests. Please tick the following to indicate the sites used during your sexual activity:
- Vaginal Sex
- Anal Sex
- Oral Sex
I have sex with:*
Consent 1*
I confirm that the contact details entered are correct and will be used to inform me of my results. I also confirm that the self-testing kit I am ordering is for my own use and the details I have entered are my own.*
Consent 3*
By ticking this box you are consenting to carrying out the required tests and understand that failing to return the kit can have a financial impact to the NHS.*
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Lancashire Sexual Health Services

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Under 25… and live in Blackpool

Under 25… and live in Lancashire

All Ages Screening Kit for all STI’s

What we test for: