Use this service if you have been invited for a cervical screening test (smear test) by the surgery, and you want us to contact you to book an appointment or decline the offer. We hope that this form will be more convenient for you than calling the surgery.
- Information in English
- Informații în limba română (information in Romanian)
- Warbixin af-soomaali ah (information in Somali)
- Türkçe bilgiler (information inTurkish)
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on 0208 887 8329.