Skip to Content
Muted
  Vibrant
About Sexual Health St. Helens Contact Us

Chlamydia Testing Order Form 

We offer a walk-in service from 9:00 am to 4:30 pm, including booked appointments. To book an appointment please call 01744 646 473.
We offer a walk-in service from 9:00 am to 4:30 pm, including booked appointments. To book an appointment please call 01744 646 473.
Contact us Leave this
website quickly

Please fill out the order form below to request your postal test. Please follow the instructions included in the kit and return it to us before the expiration date. Your privacy is important to us, and all results are confidential. Once your sample has been processed, you will receive your results via text message. If you test positive for either infection, you will be invited into clinic for treatment.

Please note that the test is intended solely for the person filling out the information below. The test will be sent with pre-filled details, including a unique barcode for your confidentiality.

 

We offer two types of tests:

 

  1. Vaginal Swab - This method involves inserting the swab into your vagina at home and then placing it into the testing tube. It is the recommended option for people with a vagina.
  2. Urine Sample - For this method, you will need to urinate into the provided container before transferring the sample into the testing tube using a pipette.
 

 

Please note that we are unable to process orders for individuals who are under 16 or over 25 years of age, as well as for those who do not live in St Helens. Any orders that fall under these criteria will be cancelled.

 

First Name*

Last Name*

Home Address (This is the address we will use to register you to our service)

House Number*

Street Name*

Town*

Postcode*

The rest of your postcode*:

Do you want your order delivered to a different address*

Delivery Address (If different to Home Address)

Date of Birth*

Email*

Mobile Number* (We will send your results to this number).

Gender*

Is your gender the same as assigned at birth?*

Sexuality*

GP and Practice* (We do not contact your GP. This is for our records only)

Country of Birth*

Ethnicity*

Type of testing kit required*

Do you require condoms*

Do you require lubricant*

* all fields marked with asterisk are required

 

Please note, that by entering your details, you are consenting for us to register you to the St Helens Sexual Health Service. If your kit is not returned within a reasonable period, we may contact you using the details you provided to remind you to return the kit. For full terms and conditions, please click here.