Cervical Screening - Request to Cease Contact and Correspondence

Use this form to stop correspondence/notifications being sent from the National Cancer Screening Register for the National Cervical Screening Program.

Reason to Cease Contact and Correspondence *
Cease Until *

View the privacy policy

  • I acknowledge that I will no longer receive any contact or correspondence from the National Cancer Screening Register (NCSR) for the National Cervical Screening Program for the period of time I have nominated. Any information relating to future cervical screening will continue to be recorded on the NCSR and can be viewed by my healthcare providers.
  • I may withdraw my request at any time by completing a withdraw request form, or by calling the contact centre on 1800 627 701.
  • I declare that I am the participant or their authorised personal representative.
  • I acknowledge that my selected request(s) will be actioned.
Acceptance of terms *