HPV Testing and Cervical Screening Consent

First Name *

Last Name *

Date of birth *

Postcode *

Contact Number

Human Papilloma Virus Testing and Cervical Screening

I have received and read a copy of ‘Patient information about NHS Cervical Screening and HPV testing

Yes

I know that I can ask any further questions to the clinician during my appointment for HPV Testing and Cervical Screening

Yes

I agree to have the procedure and understand how my cervical sample will be tested once it arrives at the laboratory

Yes

Signature

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