Request a self-testing kit form
If you are under 25, live in Surrey and you only want a test for Chlamydia and Gonorrhoea, use the form below to order a free self-test kit.
If you are over 18, live in Surrey and have no symptoms, you can order a home self-test kit for a full STI (sexually transmitted infections) check-up. This includes a test for HIV and Syphilis. Visit our homepage and answer the questions to order this.
Under 25? Living in Surrey?
You can order a free Chlamydia and Gonorrhoea self-testing kit now.
It's free, confidential and easy to use; only a urine sample is needed.
To order a self-testing kit, simply complete the online form below or text the word REACH, followed by your full name, address and date of birth to 80010.
Your self-testing kit will arrive at the address you provide in discreet and plain packaging. If you prefer to request a kit by phone call the Chlamydia Screening Outreach Team to request a kit on 01483 846421.
Aged 16-24? Living in Hillingdon?
If you live in Hillingdon and you are aged between 16 and 24, you can order a free Chlamydia self-testing kit from www.checkurself.org.uk