It takes less than 1 minute, and could save your life!
About you
We will use this information to remind you when it’s time for your next appointment or check-up. Find out if you need to do anything for Cervical Cancer screening next.
First Name
*
Last Name
Email
*
example@example.com
Mobile Phone Number
We will only ever SMS you reminders.
Postcode
*
Back
Next
Have you ever completed a cervical screening test (also called a HPV test, Pap smear or Cervical cytology test)?
*
Yes
No
When did you have your last HPV (Pap smear) test?
-
Day
-
Month
Year
If you can't remember, an approximate date is fine!
Date of Birth
*
-
Day
-
Month
Year
Screening is available to those within the age group.
Gender assigned at birth
*
Male
Female
Todays date
-
Day
-
Month
Year
Age
Last Pap Test
Years since last test
Last Pap Test days
Days since last test
Days until next test is due
Last Screening Score
If 1000, they are due for screening. They are of age and haven't done one for 5 years, or have never done one.
dueDate
-
Year
-
Month
Day
Date
Back
Next
Back
Next
Are you experiencing any of the following symptoms?
Postcoital bleeding
*
Yes
No
Intermenstrual bleeding
*
Yes
No
Postmenopausal bleeding
*
Yes
No
Dyspareunia
*
Yes
No
Unusual or bloodstained vaginal discharge
*
Yes
No
Pelvic pain
*
Yes
No
Extreme fatigue
*
Yes
No
Kidney failure
*
Yes
No
Leg pain/swelling
*
Yes
No
Lower back pain
*
Yes
No
Score
recommendationWp
Due for Screening: 1000
Immediate action required: 10-100, 1010+
No action: 0
Submit
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