Screening – Cease / Opt-out – Patient

Please use this online form:  

  • If you are a patient and wish to submit your written request to Opt-out of the NHS Cervical Screening Programme

The online form will ensure the quickest possible response time to your requests and queries. You will be prompted for all the information CSAS needs to process your request. 
Once you submit your form, you will receive an acknowledgement email.

****If you are a member of staff working at a GP Practice or Colposcopy Clinic, wishing to cease / opt-out a patient, you should use the Cease / Opt out (Submitted by GP Practice / Colposcopy Clinic) form and not this form.****