Australia-Wide STI Testing
Fill out this form to get your instant referral - no appointment required
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Full Name
(Required)
First
Last
As per Medicare card or passport. As if you have Medicare the pathology testing is bulk-billed.
Date Of Birth
(Required)
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You must be over 16 to use this service.
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AgeCalc
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Referral Candy User Agent
DON'T DELETE
Please Note: You must be 16 or older to use Stigma Health. You need to be 16 or older to continue.
Personal Details
Hi **, we just need to grab some personal details from you.
Email
(Required)
Your PERSONAL email, note we need one email per patient, an email cannot be used multiple times.
Australian Mobile Number
(Required)
Your own, PERSONAL Australian number. Unique Australian numbers only. Our system requires unique phone numbers, You cannot use someone elses phone number.
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Age
What was your sex recorded at birth?
(Required)
Male
Female
Other
How do you describe your gender?
(Required)
Man or male
Woman or female
Non-binary
Prefer not to answer
Other
Do you have Medicare?
(Required)
Yes, I have Medicare
No, I don't have Medicare
Medicare not required to use Stigma Health, and you don't need your card to proceed.
MEDICARE:
This form orders a doctors referral for STI testing, with Medicare this is bulk-billed.
NO MEDICARE:
This form orders a doctors referral for testing - the pathology companies will still charge you for the tests if you don't have Medicare.
After you complete this order, our referral can be used to claim the cost of testing from your VISA related insurance.
Is your Medicare card on hand?
Yes, I have my card details.
No - its ok you can continue without them.
Just provide your card details to the pathology when you get the tests done.
Medicare Card number
(Required)
Individual Reference Number (IRN)
(Required)
The Individual Reference Number (IRN) is the number in front of your name on your card. Click
here
to see an example.
Medical History
Thanks **. Routine STI testing is for everyone between relationships or with a social sex life. To determine the tests you need, we need to ask the following questions about your risk factors.
Are you an Aboriginal or Torres Strait Islander?
(Required)
Yes
No
Are you male, who has sex with other males or transgender woman or men?
(Required)
Yes
No
Are you, or have you been a sex worker?
(Required)
Yes
No
Have you, or your partners, previously injected drugs?
(Required)
Yes
No
Since your last sexual health test, have you had unprotected anal or oral sex?
(Required)
Oral
Anal
Both
Neither
This will determine if you need additional swabs for these sites for testing. Please it is possible to be positive in one location and not the others.
Have you ever been diagnosed with syphilis before?
(Required)
Yes
No
We just need to know to clarify the results.
When were you diagnosed with syphilis?
(Required)
DD slash MM slash YYYY
Estimate is ok. Syphilis infection is likely to show again, with history result is better understood.
Do you have HIV?
(Required)
Yes
No/unknown
Yes or no/unknown, If yes, you won't get a HIV test in the tests.
When were you diagnosed with HIV?
(Required)
DD slash MM slash YYYY
Estimate is ok. We won't be testing your HIV. Stigma Health cannot be used to monitor HIV. We refer testing for other STIs.
Testing Options
(Required)
All recommended tests please.
I only want to be tested for urine/vaginal swab tests.
I only want the blood tests at this time.
Blood tests include: HIV, Syphilis, and Hepatitis Urine/Swabs include: Chlamydia, Gonorrhoea, Trichomoniasis*, Mycoplasma Genitalium*.It is best to do all recommended tests. *These tests are only referred when your risk profile identifies this.
YOU ONLY COMPLETE TESTING YOU CONSENT TO or WANT.
All tests are referred as per healthcare guidelines, please advise the collector of any exclusions, and that the doctor is aware.
Address
It is a Medicare requirement that we have your Medicare address. Nothing is sent to your address.
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
It is a Medicare requirement that we have your Medicare address. Nothing is sent to your address.
Enter 'under21' in the coupon code below to save 20%
Coupon
If you have a referral coupon, enter it here, otherwise continue.
STI Testing Referral
(Required)
1 Referral - $47.46
3 Referrals - $37.97 ea - SAVE 20% $113.90 TOTAL
6 Referrals - $33.22 ea SAVE 30% $199.33 TOTAL
8 Referrals - $28.48 ea - SAVE 40% $227.81 TOTAL
12 Referrals - $23.73 ea - SAVE 50% $284.76 TOTAL
REFERRALS ARE VALID FOR 12 MONTHS FROM ISSUE. Referral for STI Testing.
Total
Agreement
(Required)
I accept the
Terms & Conditions
of the Stigma Health service
Communications Preferences
I would like to receive email updates from Hyphen Health. See our
Privacy Policy
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Instant STI Test Pathology Referral via SMS
I understand, I will receive my pathology referral immediately after completing the payment.
You can get tested today (If pathology is open). After payment you will receive an SMS with a link.
Last question: How did you hear about Stigma Health?
Through a friend or family member
Social Media
Advertisement
Online search (e.g. Google, Bing, Duckduckgo)
Other
Could you please let us know where you heard about us by selecting one of the options?
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Please specify
To help us improve STI testing in Australia, please specify.
Phone
This field is for validation purposes and should be left unchanged.
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