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Foundation Surgery NHS GP surgery

Cervical screening deferral

Form summary

How many months would you like to defer for? *

6 months

12 months

18 months

What is the reason for deferring your cervical screening? *

I have had a recent screening

I am pregnant

I am under care of colposcopy

I have been discharged from colposcopy

I am undergoing treatment that will impact the screening

I am unable or do not want to attend

Upload a photograph or document, like a copy of a recent screening result

Maximum file size: 26.21MB

Terms and conditions *

I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.

If you are human, leave this field blank.

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