Request a Chlamydia and Gonorrhoea Self-Test Kit

If you are aged 18 and over and have an Oxfordshire postcode, you are eligible for a free Chlamydia and Gonorrhoea self-test kit. Simply complete this form and your kit will be posted to the address you provide.

Don’t meet the criteria? Please contact or visit your Genitourinary Medicine (GUM) clinic to request a Chlamydia and Gonorrhoea test. See for clinic details.

Step 1 of 3 - Consent to collect and use your personal information

In order to send you a Chlamydia and Gonorrhoea self-test kit and let you know the results, we need some information about you. This includes the following personal information:

  • Your name
  • Date of birth
  • Gender
  • Address
  • Phone number, if you would like to receive your test results by text or phone

We will only ever use your personal information for the purposes of fulfilling your request for a Chlamydia and Gonorrhoea self-test kit, although we may also use anonymous statistical information for reporting purposes. We adhere to strict privacy guidelines in order to protect your data, and all personal information will be treated in strict confidence. Your personal information will not be passed onto third parties. For more information, see our privacy and cookies page.