Pharmacy First

Request Your Free UTI Test Kit

Complete the short form below to request a free NHS UTI test kit for women aged 16 to 64. Our pharmacy team will review your answers and arrange delivery of your test kit if appropriate, along with guidance on the next steps.

Patient First Name

Patient Last Name

Date of Birth

NHS Number

Email Address

Phone Number

Postcode

Address Line One

Address Line 2

Town/City

I consent to my information being shared with NHS pharmacies, my GP practice, and NHS England where necessary.