Triage

Do you live in West Sussex?*

Sorry - you are not eligible for online testing because you live outside our service area.

Click here to find out more about our services, or call us on 01903 285199

Date of birth:*

Tell us your gender:*

How would you define your current gender?*

Is you gender the same as at birth?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Who do you have sex with?*

Your answer indicates you will need to complete a different request form. Please click here to continue your request.

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Do you have any of the following symptoms of a Sexually Transmitted Infection?*

A discharge from your genitals (penis, anus)
A rash or spots around your penis
Lumps or bumps in or around your genitals
Pain when you pass urine
Any sores or ulcers in or around your gentials
Any other symptoms or concerns
None of the above

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Do you have any of the following symptoms of a Sexually Transmitted Infection?*

A change in your usual vaginal discharge
Bleeding between your periods or after sex
Pain
Lumps or bumps in or around your genitals
Pain when you pass urine
Any sores or ulcers in or around your gentials
Any other symptoms or concerns
None of the above

Do you have any of the following symptoms of a Sexually Transmitted Infection?*

A change in your usual vaginal discharge
Bleeding between your periods or after sex
Pain with sex
Lumps or bumps in or around your genitals
Pain when you pass urine
Any sores or ulcers in or around your gentials
Any other symptoms or concerns
None of the above

Do you have any of the following symptoms of a Sexually Transmitted Infection?*

A change in your usual vaginal discharge
Bleeding between your periods or after sex
Pain with sex
Lumps or bumps in or around your genitals
Pain when you pass urine
Any sores or ulcers in or around your gentials
Any other symptoms or concerns
None of the above

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

When was the last time you had unprotected sex/sex without a condom?*

If you are testing because you have had sex with someone new or you have a specific concern, please read the following information about window periods (When best to test):

Chlamydia and Gonorrhoea may take up to 2 weeks to show up after infection
HIV may take up to 45 days to show up after infection
Syphilis may take up to 12 weeks to show up after infection

We recommend testing after the window period, but if you feel unable to wait, please remember to repeat tests at a later date if concerned.

Take control of your sexual health and check yourself routinely - We recommend testing at least yearly

Using condoms for sex will reduce the risks of catching and passing on STIs . You can access free condoms within our clinics or by joining the C Card Scheme

If you are testing because you have had sex with someone new or you have a specific concern, please read the following information about window periods (When best to test):

Chlamydia and Gonorrhoea may take up to 2 weeks to show up after infection
HIV may take up to 45 days to show up after infection
Syphilis may take up to 12 weeks to show up after infection

We recommend testing after the window period, but if you feel unable to wait, please remember to repeat tests at a later date if concerned.

Take control of your sexual health and check yourself routinely - We recommend testing at least yearly

Using condoms for sex will reduce the risks of catching and passing on STIs . You can access free condoms within our clinics or by joining the C Card Scheme

When was the last time you had unprotected vaginal sex/sex without a condom?*

If you are not using any other form of contraception you may be at risk of pregnancy. Emergency contraception can be used to reduce the risk of unwanted pregnancy. If the unprotected sex was up to 120 hours ago (5 days), you can access emergency contraception pills from community pharmacy, your GP or sexual health services, or you could have an IUD (coil) fitted in sexual health services and some GPs.

To discuss emergency contraception from Sexual Health West Sussex you can book an appointment Click here for more information or phone 01903 285199.

If you are testing because you have had sex with someone new or you have a specific concern, please read the following information about window periods (When best to test):

Chlamydia and Gonorrhoea may take up to 2 weeks to show up after infection
HIV may take up to 45 days to show up after infection
Syphilis may take up to 12 weeks to show up after infection

We recommend testing after the window period, but if you feel unable to wait, please remember to repeat tests at a later date if concerned.

Take control of your sexual health and check yourself routinely - We recommend testing at least yearly

Using condoms for sex will reduce the risks of catching and passing on STIs . You can access free condoms within our clinics or by joining the C Card Scheme

If you are testing because you have had sex with someone new or you have a specific concern, please read the following information about window periods (When best to test):

Chlamydia and Gonorrhoea may take up to 2 weeks to show up after infection
HIV may take up to 45 days to show up after infection
Syphilis may take up to 12 weeks to show up after infection

We recommend testing after the window period, but if you feel unable to wait, please remember to repeat tests at a later date if concerned.

Take control of your sexual health and check yourself routinely - We recommend testing at least yearly

Using condoms for sex will reduce the risks of catching and passing on STIs . You can access free condoms within our clinics or by joining the C Card Scheme

If you are testing because you have had sex with someone new or you have a specific concern, please read the following information about window periods (When best to test):

Chlamydia and Gonorrhoea may take up to 2 weeks to show up after infection
HIV may take up to 45 days to show up after infection
Syphilis may take up to 12 weeks to show up after infection

We recommend testing after the window period, but if you feel unable to wait, please remember to repeat tests at a later date if concerned.

Take control of your sexual health and check yourself routinely - We recommend testing at least yearly

Using condoms for sex will reduce the risks of catching and passing on STIs . You can access free condoms within our clinics or by joining the C Card Scheme

Have you had sex with someone who you know to have had a Sexually Transmitted Infection in the last 3 months, not including genital herpes or warts?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Since your last sexual health check-up have you had unprotected sex with someone who is NOT from the UK or Western Europe?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Since your last sexual health check-up have you injected drugs or had sex with someone who injects drugs?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Has someone you’ve had sex with physically hurt you, made you feel scared or controlled you?*

A member of our team will make contact will discreetly make contact with you by your mobile number in the next working day. If you need help sooner, or want to access support please Click here

Have you felt unable to say no to sex?*

A member of our team will make contact will discreetly make contact with you by your mobile number in the next working day. If you need help sooner, or want to access support please Click here

Since your last sexual health check-up, have you ever been paid for sex or received money, drink or drugs in exchange for sex?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

Since your last sexual health check-up, have you had sex with someone who you knew was HIV positive?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or attend one of our ‘walk in and wait’ clinics, or call us on 01903 285199

Since your last check-up has your partner had sex with men?*

Your answer indicates that you need to be seen in one of our clinics.

Click here to find out how to book an appointment or call us on 01903 285199

From your responses it looks like you are able to access the STI test kit online - please provide the following details to receive one through the post:

Your first name:*

Your surname:

Your full address:*

Postcode:*

Your mobile number:*

Please provide a mobile number to receive reminders and results by text. We will not use your personal details for any other purpose or share them with any other organisation.

Your first name:*

Your surname:*

Your full address:*

Postcode:*

Your mobile number:*

Please provide a mobile number to receive reminders and results by text. We will not use your personal details for any other purpose or share them with any other organisation.

Your ethnic origin:

All demographic information submitted is held confidentially and for statistical purposes only

Your country of birth:

Your ethnic origin:

All demographic information submitted is held confidentially and for statistical purposes only

Your country of birth:

How did you hear about online testing?

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