Bowel Screening - Request to Opt Out

Use this form to opt out of all participation in the National Cancer Screening Register for the National Bowel Cancer Screening Program.

Read important information about opting out of the NCSR.

Reason(s) for opting out of the Program *
Confirmation
Authorised personal representative

Fill in the form below so we can process your request.

To fill in this form as an authorised personal representative, your details must be registered with the NCSR as the screening participant’s personal representative, otherwise we will not be able to process your request.

If you are unsure, please call our Contact Centre on 1800 627 701 before filling in this form.

View the privacy policy

  • I will not be contacted or receive any future correspondence from the National Cancer Screening Register (NCSR) for the National Bowel Cancer Screening Program, however you will always receive notification of a positive result;
  • I will not have any future results from the Program recorded on the NCSR;
  • I will not be re-invited to screen for bowel cancer by the Program; and
  • If I have opted out of the Program but then decide to participate by doing the Program test kit, I will be considered a participant in the Program. This means my test results will be recorded on the NCSR and correspondence will be sent to me if necessary.
  • No further Bowel Screening information about me will be recorded on the NCSR, my authorised healthcare provider can see I have opted out.
Acceptance of terms *