Request a bowel cancer screening kit

Cheshire and Merseyside bowel cancer screening kit request form

Your name Required

Where did you hear about this service? Required

Your email address Required

Your address Required

Address 1

Address 2

City

Country

County

Postal Code

Your date of birth Required

Your GP surgery Required

I can confirm that I am registered with a GP in Cheshire and Merseyside Required

I can confirm that I am registered with a GP in Cheshire and Merseyside

I confirm I received a bowel cancer screening test in the post but did not return it, so I would like another to be posted to me. Required

I confirm I received a bowel cancer screening test in the post but did not return it, so I would like another to be posted to me.

I agree to the privacy policy