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Demo clinic
Multi Specialty Clinic
Cervical screening deferral
Cervical screening deferral
Section
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
Please provide a copy of a recent screening result (if applicable)
Drop a file here or click to upload
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Required upload size: 52.43MB
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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