Cervical Screening - Resume participation

Use this form to resume participation in the National Cancer Screening Register for the National Cervical Screening Program if you have previously opted out.

If you're not sure whether you are an active participant, please call our Contact Centre on 1800 627 701.

You can either type your date of birth in (dd/mm/yyyy) or use the date picker

Confirmation
Authorised representative

If signing on behalf of the participant, please provide your name and contact information.

Please note: to fill in this form as an authorised representative, your details must exist within the NCSR as a personal representative or healthcare provider, 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.

You can either type your date of birth in (dd/mm/yyyy) or use the date picker

View the privacy policy

  • I will be contacted and receive future correspondence from the National Cancer Screening Register for the National Cervical Screening Program
  • I will have future results from the Program recorded on the National Cancer Screening Register
  • I will be re-invited to screen for cervical cancer by the Program
  • I will be considered a participant in the Program. This means my test results will be recorded on the National Cancer Screening Register and correspondence will be sent to me if necessary.
Acceptance of terms *