UK Cervical screening Programme information and opt out form

NHS cervical screening helps prevent cervical cancer. It saves thousands of lives from cervical cancer each year in the UK.
In England, cervical screening currently prevents 70% of cervical cancer deaths. If everyone attended screening regularly, 83% could be prevented.

Who we invite

Cervical screening is for women and people with a cervix.
We offer screening every 3 years from age 25 to 49 and every 5 years from age 50 to 64.
This is because most cervical cancers develop between these ages.

Your preference

Cervical Screening Opt Out

What would you like to do?

I would like to book a smear

I would like to opt out of the UK cervical screening programme

Please return to the invite sms/email you were sent and follow the link to book an appointment or alternatively call the practice on 0208 903 6033.

Opt Out of UK Cervical Screening Programme

Please enter your details to opt out.

First Name *

Last Name *

Email *

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Address

I confirm

I have read the above information and the gov.uk link

How long do you want to opt out?

Opt out for 18 months

Opt out indefinitely

Signature

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Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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UK Cervical screening Programme information and opt out form

Who we invite

Your preference

Opt Out of UK Cervical Screening Programme

Privacy Policy

Location

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