Our Services

Request for chlamydia and gonorrhoea screening pack

Your request will be sent to an NHS.net email mailbox which is monitored by the South Tyneside Sexual Health team who will send you a testing pack to the name and address specified. You must then post the completed sample via Freepost to the Public Health England laboratory.

Fields marked * must be completed

Important. The security of your data

Information sent using this form is NOT secure during transmission. Once received by the Trust your data will be fully secured.

If you do not wish to transmit your data electronically, you can instead use THIS FORM which you may download, print and return by post to: Dual Screening Requests, South Tyneside NHS FT, Sexual Health Service, Palmer Community Hospital, Wear Street Jarrow NE32 3UX

Important. Fair processing notice

The Information that you send us:

  • will be used for the purposes of providing sexual health screening
  • will be stored on NHS.net email servers or, in the case of paper forms, be held on NHS premises by the Sexual Health Department
  • will be shared with Public Health England via the National Keep-It-Clear system on which your results are stored and which sends your results via text message to your phone, and may be also shared on other data stores in an anonymised form
  • will be treated and held by the Sexual Health Department according to NHS standards of data protection and confidentiality