Test Kit Request

You can request a self taken test kit online by completing your details below. The kit will be sent to the address you provide in an unmarked plain envelope.

The kit will contain specimen container, laboratory test request form, National Screening Programme leaflet, pre paid returns envelope and protective returns packaging.

When you have taken your sample, simply return it via any Royal Mail post box on the same day. Your results will be sent by the method you choose on the laboratory test request form.

Name: *
Address: *
Postcode: *    
Gender: *
Date of Birth: * (dd/mm/yyyy)  
How did you find out about us? *

Self- testing postal kits are also available by telephoning the Chlamydia Screening Office free from a land line telephone.

If you live in Walsall call: 01922 270554/270556

If you live in Wolverhampton call: 01902 444 444

If you live in Dudley call: 07717 152726