CNWL

Sexual Health Services
in London and Surrey

  1. These online services are restricted by your postcode of residence, if your postcode is not accepted please call our telephone service on 01483 675389 (Surrey) or 0203 3175252 (London).


    Please click below for specific details:

  2. Please click a service below or for information about other Surrey services please click here.

    Please click a service below or for information about other London services please click here.

  3. London and Surrey residents who are aged 18 or over can request some contraceptives online, these are:

    We will ask you a number of health related questions to assess your suitability for this service as would happen in a clinic appointment.

    For Combined Hormonal Contraception (COC pill, EVRA patch, vaginal ring) you will need to provide your recently measured blood pressure and weight. Everybody’s blood pressure is different and it can change (become high or low) without you noticing. You can measure your blood pressure at many places such as GP, gyms and pharmacists. You can also buy blood pressure monitoring devices from pharmacies and online. Have these measurements ready before you start completing the form for these methods.

    Your answers will be reviewed by a clinician. Sometimes the clinician might need to call you to clarify the information you have provided, this will usually be within 5 working days after your request.

    Medication or a prescription will be sent by post and may require a signature.

    This will be issued on the understanding it is for your use only and for contraceptive purposes.

    We will let you know by text if we are not able to prescribe contraception online and you will be advised to make a phone consultation instead.

  4. Your test today may not cover recent risks as it takes time for infections to develop. This is called the incubation period.

    The incubation periods are:

    • Chlamydia and Gonorrhoea: 2 weeks after risk
    • HIV: 6 weeks after risk
    • Syphilis: up to 3 months after risk

    If you have any concerns, please re-test.

    Your results give no indication of your partner's sexual health. You should encourage your partner to test too.

    We will post your kit to you. You take your own samples and send it back. You’ll get your results by text or we will call you.

    We can only offer home self-test kits to people who live within the Surrey County Council area.


  5. Some men may need additional tests.

    If you have had anal sex or oral sex with a man, we will also include swabs (like a cotton-bud).

    We automatically include a finger prick test for HIV and Syphilis if we think you need one based on your answers. You can also choose to add this.

    The next two questions will help us to work what you need.
    Your answers will be confidential.

    If this is your first sexual health check, please answer these questions about all of your sexual experiences.

    If you have had a sexual health check before, please answer these questions based on what has happened since the last time you had a sexual health check.


    Some women may need additional tests.

    If you have had anal sex or oral sex with a man, we will also include swabs (like a cotton-bud).

    The next two questions will help us to work out if you need swabs and which ones you need.
    Your answers will be confidential.

    If this is your first sexual health check, please answer these questions about all of your sexual experiences.

    If you have had a sexual health check before, please answer these questions based on what has happened since the last time you had a sexual health check.


    We are asking this so that we know whether you need a swab for your rectum.

  6. We are asking this so that we know whether you need a swab for your throat.

  7. If you have not had an HIV test before, we recommend you have one. We also recommend regular testing for people who are at higher risk.

    If you are not sure whether you need an HIV or Syphilis test or you want more information about HIV testing, visit this page.

    You can do this now because you will be able to come back to this form once you’ve read the information.

    Please note the HIV and syphilis tests are combined, with both done from the same sample at the laboratory. This means that if you are HIV positive and require a syphilis test you will also automatically receive an HIV test from the blood sample. As such, we will call you to inform you of the HIV+ result. We apologise for any inconvenience caused by this.

  8. For information on the best types of contraception for you click here

    For most methods of contraception you will need to have a consultation with one of our clinicians. However some methods are also available online to Westminster, Kensington & Chelsea, Hammersmith & Fulham and Surrey residents who are aged 18 or over, these are:

    • the progestogen only pill (POP) and,
    • for patients who are currently being prescribed the method from one our clinics, the combined hormonal contraceptive pill (COC).

    If you choose online contraception, we will ask you a number of health related questions to assess your suitability for this service as would happen in a clinic appointment. Your answers will be reviewed by a doctor. All prescriptions are free and will be sent by tracked delivery, you will not have to sign for this. The prescription will be issued on the understanding it is for your use only and for contraceptive purposes.

    An appointment is required for, Intrauterine devices and systems, subdermal implant, depo injection, transdermal patch, vaginal ring, vaginal diaphragm.

    If you’re sexually active you might also want to have a regular sexual health check-up. We now offer this online at www.sexualhealth.cnwl.nhs.uk/surrey-kits

  9. Please enter your postcode so we can check if you are eligible for this service.

  10. Please choose whether you would like a prescription for the progestogen-only pill (POP) or combined hormonal contraception (COC pill, EVRA patch or vaginal ring).

  11. The progestogen-only pill ('POP') is a small tablet that contains a progestogen hormone. It works by thickening the cervical mucous stopping the sperm meeting the egg and, in some women, it also stops ovulation.

    Effectiveness: With perfect use about 1 in 100 women will get pregnant each year, however, for typical use about 9 in 100 women will get pregnant each year. This is because in typical use people forget pills or might do something else that makes it less effective. It becomes effective 48 hours after taking your first pill.

    Advantages: Medically the POP is very safe, there are very few contraindications and risks. Whilst it is a good contraceptive for women of all ages, it is ideal for women who can’t take oestrogen or are older.

    Disadvantages: You may not get a regular bleed with this method. Whilst some women may experience no bleeding others may experience bleeding at irregular intervals.

    Use: The POP is taken daily, you do not take a break between packs. You should aim to take the POP at the same time each day. It is important not to take it more than 3 hours (12 hours for POPs with desogestrel) after your chosen time. We supply the POP with desogestrel to new customers.

    Please read further information on the Progestogen-only Pill here.


    We need to check that there is nothing in your medical history that might make it unsafe to use the POP

    Online prescription of POP is offered only to women below the age of 55.

    Please enter details.

  12. Please enter details, name of the medication and the reason for taking it.

  13. Please enter details.

    • diabetes
    • breast disease
    • cancer of any type
    • thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
    • stroke (or TIA)
    • heart disease
    • liver disease or jaundice
    • malabsorption syndromes
    • gastrointestinal surgery
  14. Please enter details.

  15. The progestogen-only pill ('POP') is a small tablet that contains a progestogen hormone. It works by thickening the cervical mucous stopping the sperm meeting the egg and, in some women, it also stops ovulation.

    Effectiveness: With perfect use about 1 in 100 women will get pregnant each year, however, for typical use about 9 in 100 women will get pregnant each year. This is because in typical use people forget pills or might do something else that makes it less effective. It becomes effective 48 hours after taking your first pill.

    Advantages: Medically the POP is very safe, there are very few contraindications and risks. Whilst it is a good contraceptive for women of all ages, it is ideal for women who can’t take oestrogen or are older.

    Disadvantages: You may not get a regular bleed with this method. Whilst some women may experience no bleeding others may experience bleeding at irregular intervals.

    Use: The POP is taken daily, you do not take a break between packs. You should aim to take the POP at the same time each day. It is important not to take it more than 3 hours (12 hours for POPs with desogestrel) after your chosen time.

    Please read further information on the Progestogen-only Pill here.


    We need to check that there is nothing in your medical history that might make it unsafe to use the POP

    Online prescription of POP is offered only to women up to the age of 55.

  16. Please enter details, name of the medication and the reason for taking it.

  17. Please enter details.

    • diabetes
    • breast disease
    • cancer of any type
    • thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
    • stroke (or TIA)
    • heart disease
    • liver disease or jaundice
    • malabsorption syndromes
    • gastrointestinal surgery
  18. Please enter details.

  19. Combined hormonal contraception is available online only to women who are currently receiving this method from either a CNWL sexual health clinic or CNWL online service. (We will check this against our records)

  20. The combined oral contraceptive pill (also known as ‘COC’), the combined hormonal contraceptive patch (EVRA patches) and the combined hormonal vaginal ring contain a progestogen and an oestrogen hormone. They work by stopping you ovulating (producing an egg).

    Effectiveness: With perfect use about 1 in 100 women will get pregnant each year, however for typical use about 9 in 100 women will get pregnant each year. This is because in typical use people forget pills / patches / the ring or might do something else that makes it less effective. They become effective 7 days after starting the method.

    Disadvantages: There is a very small increased risk of venous thrombosis and stroke when using these methods, the medical history you provide us with will assess whether you are at increased risk and therefore should not use an oestrogen containing contraceptive. Combined hormonal contraception increases the risk of heart attacks, breast cancer and cervical cancer.

    Advantages: These methods give very predictable bleeding patterns and make bleeds less heavy. They can also improve acne in some women. They also reduce the risk of endometrial, ovarian and bowel cancer.

    Use: The COC is usually taken daily for twenty-one days followed by a seven-day break after which the pill is restarted. It has to be taken within 24 hours of the same time each day.

    The EVRA patch is changed every seven days with a seven-day break after three weeks.

    The vaginal ring is left in for twenty-one days followed by a seven-day break.

    However, not taking a break or reducing the number of breaks may increase the effectiveness of these methods, as does reducing the break to 4 days. This is safe to do and reduces the number of bleeds you have.

    Please read further information here for the COC pill, here for the patch, here for the vaginal ring.


    We need to check that there is nothing in your medical history that might make it unsafe to use these methods. The questions below are common for all Combined hormonal contraception methods (COC pill, EVRA patch, vaginal ring).

    You will need to provide your recent height, weight and blood pressure as part of this process.

    Combined hormonal contraception is offered only to women below the age of 50.

  21. Please enter details.

  22. Please enter details, name of the medication and the reason for taking it.

  23. Please enter details.

  24. Please enter details.

    • high blood pressure
    • diabetes
    • breast disease
    • cancer of any type
    • thrombosis/blood clot eg (DVT: Deep Vein Thrombosis or PE: Pulmonary Embolism)
    • stroke (or TIA)
    • heart disease
    • liver disease, jaundice or gall stones
    • high cholesterol
    • antiphospholipid antibodies
    • malabsorption syndromes
    • gastrointestinal surgery
    • restricted mobility
  25. Please enter details.

  26. Please enter details such as who had what condition and how old were they when diagnosed with it.

  27. Please enter details.

  28. Your BMI is


    You can measure your blood pressure at many places, GP, gyms and pharmacists. You can also buy blood pressure monitoring devices from pharmacies and online.

We will post your kit to you. You take your own samples and send it back.
You’ll get your results by text or we will call you.


You can only order a home self-test kit for yourself. Please do not try to place orders for other people.

We will record these details in your patient record and share them with our third party supplier, TDL (The Doctors Laboratory), who will supply your home self-test kit and carry out the testing on your returned samples.

The information you have provided will be reviewed by a clinician. The clinician will decide if you are eligible for online contraception. They may call you to clarify details if felt necessary. If you are eligible, you will be sent the contraception or a prescription in the post to the address you provide below. If it is a prescription you take this into any high street chemist and you will receive your contraception.

If the clinician reviews your health information and decides that you might benefit from a consultation then you will be contacted via email or text.


We will record this information and create a patient record if you are a new patient, if necessary we will update records of existing patients.

/ /

You need to be between 18 and 54 to be eligible for online POP prescription.

You need to be between 18 and 49 to be eligible for online Combined hormonal contraception prescription.

Note: Your eligibility to receive a self-test kit depends on your postcode and changing this may reset the above information. Only UK mobile numbers will be accepted.
Note: Your eligibility to receive online contraception depends on your postcode, and changing this may reset the above information. Only UK mobile numbers will be accepted.

We will record whether you are male or female based on the kit you have ordered.

The information below is required for anonymous bulk reporting for health planning. The information in reports cannot be linked to you as an individual and will only be shared for NHS purposes.

The information below is required for anonymous bulk reporting for health planning. The information in reports cannot be linked to you as an individual and will only be shared for NHS purposes.

* Fields are mandatory.

Please click here on Progestogen-only Pill to read information about the use, risks and benefits of this method of contraception.

Please click here for the COC pill, here for the patch, here for the vaginal ring to read information about the use, risks and benefits of this method of contraception.

When you press submit, we will send you a validation code by text to confirm your mobile number.

Didn’t receive a text? Please check your mobile number is entered correctly.

Thanks for your order

Your home self-test kit will arrive in three to five working days.

Please read the instructions included in your kit carefully before you take a test.
We will text you to confirm your order number within three working days.

If you have not received your home self-test kit after five working days, you can call us on 01895 474 105 (available Monday to Friday, 9am to 5pm).

If you need support because you feel frightened of your partner or you’re worried about drugs and alcohol, please visit this page.

Thank you for submitting the form for online contraception

Your answers will be reviewed by a clinician. Sometimes the clinician might need to call you to clarify the information you have provided, this will usually be within 5 working days after your request.

If you are suitable, medication or a prescription will be sent by post and may require a signature. If a prescription, you can take it to any chemist to receive your free contraception.

This will be issued on the understanding it is for your use only and for contraceptive purposes.

We will let you know by text if we are not able to prescribe contraception online and you will be advised to make a phone consultation instead.