FREE AND CONFIDENTIAL TESTING

Here at HORIZON 102 Dickson Road we offer free and confidential testing for HIV*, Hepatitis B, Hepatitis C and Chlamydia** If you would like someone to contact you in confidence to arrange an appointment for a test, please complete the form below and a practitioner will be in touch to arrange a suitable time

Please note we only offer testing during office hours at present. If you are experiencing symptoms, feel that this is an emergency, or are worried about your sexual health please contact Whitegate Drive Sexual Health Centre on 01253 957171

*Some HIV Results can be given in 60 seconds
**Chlamydia testing is only available to people 25 and under

Please note that we appear to be having some issues with our Contact Forms so please send your details to enquiries@druglinelancs.co.uk

Surname (required)

Forename

Address

Postcode

Telephone (Home)

Telephone (Mobile)

Your Email (required)

Sex - as assigned at birth

Gender - as indentified at present

Sexuality

Ethnicity

I would like to be tested for

 HIV Hepatitis B Hepatitis C Chlamydia*

If possible I would like my HIV Results in 60 Seconds

 Yes No

Preferred contact method