Bowel Screening - Request to Withdraw a Previous Request

Use this form to withdraw a previous request made to the National Cancer Screening Register for the National Bowel Cancer Screening Program.

Select the request(s) to withdraw *
Personal 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 Register as a personal representative. If you are not personal representative within the Register, 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.

  • I acknowledge that my selected request(s) will be actioned.
  • I declare that I am the participant or their authorised personal representative.
Acceptance of terms *