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Tayside MSM STI consultation
We supply free STI (sexually transmitted infection) tests for
syphilis
,
chlamydia
and
gonorrhoea
to men in Tayside.
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.
This service is only available to men who have sex with men, and who live in Tayside. 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.
First name
Surname
Date of birth
Address
Address
Address 2
City/Town
Postcode
Please note this service is only available for people who have Tayside postcodes.
Phone number
Email
Country of birth
More about you
I am...
- Select -
A man
A woman
A trans man
A trans woman
Non-binary/another gender
I have sex with...
- Select -
Men
Women
Men and women
My ethnicity is...
- Select -
Asian, Indian
Asian, Pakistani
Asian, Bangladeshi
Asian, Chinese
Asian, any other
Black, African
Black, Caribbean
Black, any other
Mixed, White and Black African
Mixed, White and Black Caribbean
Mixed, White and Asian
Mixed, any other
White, British
White, Irish
White, Gypsy or Irish Traveller
White, any other
Arab
Any other ethnicity
Rather not say
Your sexual health
When was your last screen for STIs?
Were any results positive?
Please write 'n/a' below if this question does not apply to you.
When did you last have sex?
Did you have anal sex without a condom?
Are you aware of PrEP (pre-exposure prophylaxis)?
- Select -
Yes
No
Are you taking PrEP?
- Select -
Yes
No
Have you ever ordered a free HIV test from Terrence Higgins Trust?
- Select -
Yes
No
Search for a free HIV test to order online
(this link will open in a new window).