We supply free STI (sexually transmitted infection) tests for syphilis, chlamydia and gonorrhoea to people who live in Ayrshire and Fife.
Please fill out this form as best you can. The sexual health questions are based on our normal face-to-face consultation. We use the information to assess which tests to send to you.
No information you fill in here will be shared with anyone else apart from your contact details, as TDL (The Doctors Laboratory), who supply our tests, require this information to send the tests to you.
Please note, for test kits to be processed it is important that samples must be returned to the lab correctly labelled and with correctly completed paperwork within eight weeks of receiving the kit. Otherwise we cannot guarantee that your test will be processed. Thank you.
Please write 'n/a' if this question does not apply to you.