Request a free bowel test kit

The National Bowel Cancer Screening Program offers a free, simple test for eligible Australians to reduce illness and death from bowel cancer.

Eligible people aged 45 to 49 can request their first free bowel cancer screening kit be mailed to them. Use the form below.
Eligible people aged 50 to 74 will continue to receive a bowel cancer screening kit in the mail every 2 years. Use this form if you didn't receive your last kit or if it was damaged, misplaced, or expired.

Not sure if you should request a kit? Call our Contact Centre on 1800 627 701.

_{Note: Fields marked with an asterisk (*) are mandatory.}

Request a free bowel test kit

Are you completing this form for yourself? * Yes No – as a healthcare provider on behalf of a patient No – as an authorised personal representative on behalf of someone else

Your details:

Date of birth *

Provide given name(s) and family name, as recorded with Medicare:

Given name(s) *

Family name *

Medicare, NCSR ID, or Department of Veterans' Affairs (DVA) number *

Postal address *

Suburb *

State *

Postcode *

We require an email address so we can contact you if there are any issues processing your request. If you prefer not to share your email or do not have one, please call our Contact Centre at 1800 627 701.

Email address *

Phone number

Authorised personal representative details:

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.

Given name(s) *

Family name *

Date of birth *

Postal address *

Suburb *

State *

Postcode *

We require an email address so we can contact you if there are any issues processing your request.

Email address *

Phone number

What is your relationship to the participant *

Any personal information provided to the NCSR, including your email address, will only be used to assist in processing this request.

For more information on how personal information is handled, view the privacy policy and frequently asked questions.

My request will only be processed if I am eligible to participate in the National Bowel Cancer Screening Program.
If I live in a hotter part of Australia, my kit will be mailed in the cooler months, as exposure of collected samples to high heat can affect test results. You or your doctor can override this delay and request a kit be mailed to you now by calling the NCSR Contact Centre on 1800 627 701. However, you must keep your samples cool by following the test instructions.
I may withdraw my request at any time by completing a withdraw request form, or by calling the NCSR Contact Centre on 1800 627 701.
I declare that I am the screening participant and submitting this form on my own behalf.

Acceptance of terms * I have read, understood and agree to these statements

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Request a free bowel test kit

Request a free bowel test kit

Your details:

Participant details:

Patient details:

Provide given name(s) and family name, as recorded with Medicare:

Healthcare provider details:

Authorised personal representative details:

Important information

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