Order a GBS test

Please complete all required fields on this form, making sure that the information provided is correct. We need this information to confirm your order for a GBS test, supply a self-collection kit and to send you the results. The GBS testing service costs £55.00 (Delivery charge £0.00).

Your details

A mobile number is required so that results will also be sent via SMS message to you as well as a printed copy by post.

Title*

First name*

Last name*

Address lookup – type a postcode below to find the address

Address Line 1*

Address Line 2

Address Line 3

Town/City*

Country*

Postcode*

Email Address*

Confirm Email Address*

Mobile Number*

Confirm Mobile Number*

Date Of Birth*

Weeks Pregnant*

Your delivery details

I would like the test kit delivered to a different address

Address lookup – type a postcode below to find the address

Address Line 1*

Address Line 2

Address Line 3

Town/City*

Postcode*

Country

Healthcare professional

We require the contact details for the healthcare professional who is assisting with your pregnancy. This is so that we can provide them with results of your test to help with pregnancy planning.

Name*

Address lookup – type a postcode below to find the address

Address Line 1*

Address Line 2

Address Line 3

Town/City*

Postcode*

Email Address*

Confirm Email Address*

Contact Number*