Prostate cancer risk questionnaire

Use this service to submit a questionnaire if you have spoken to a member of our team to request a PSA blood test for prostate cancer risk.

If you have not spoken to a member of the team about requesting this blood test, your query will be rejected.

You can use this service if you:

  • are registered at the surgery
  • have been invited to do so

Before you start

Important: If you have symptoms

If you have any symptoms of prostate cancer, do not use this form but contact the surgery for an appointment on 01508 520222 or complete a Get help for any health problem form.

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on 01508 520222.