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The Waterloo Practice

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PATCHS
Online Services
Appointments
Prescriptions
Blood Test Results
New Patient Registration
Online Forms
Patient Group
Fit Note Request

Home
Easy Read Guides
Opening Hours
COVID-19 Information
Appointments
Prescriptions
Blood Test Results
New Patients
Online Forms
Patient Participation Group
Online Services
Kirklees Help & Support
Health Advice
Cervical Screening Information
Our Staff
Contact Us

Home
Cervical Screening Appointment

Cervical Screening Appointment

Cervical Screening Appointment

You have been asked to complete this form as you are due for your cervical screening appointment. Please complete this form with your availability and you will be contacted with an appointment.

Cervical Screening Appointment

Name *

Date of birth *

Address *

Phone number *

Have you had any medical procedures in previous 3 months that could affect the results? eg swabs taken, given birth? *

Yes No

Have you received a letter asking you to book a cervical screening? *

Yes No

Please advise the best time/s for your cervical screening appointment with our Practice Nurse *

Monday 9:00am - 13:00pm

Monday 2:00pm - 6.00pm

Tuesday 9:00am - 13:00pm

Tuesday 2:00pm - 6:00pm

Wednesday 9:00am - 13:00pm

Wednesday 2:00pm - 6:00pm

Thursday 9:00am - 13:00pm

Thursday 2:00pm - 6:00pm

Friday 09:00am - 13:00pm

Friday 2:00pm - 6:00pm

Any other notes for the booking (e.g. early as possible or after 4pm)

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Page last reviewed: 17 January 2023

Further Information

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