Book Cervical Smear Appt | Kent Ayers Fertility

Book Your Online Cervical Screen Appointment

Please send the Patient Appointment Form below, complete with payment to book your Cervical Screen. We will contact you when we receive the form to arrange the next available appointment, which is usually 2 weeks – or you can arrange the timing to fit in around your Cycle. Tests should be carried out either side of your cycle – and don’t worry if your cycle date changes, we can change your appointment to suit! We target a 10 Working Day turnaround time for Cervical Screen Results. Once verified by Dr. Ayers, a Consultant report will be emailed to you and your GP, in a password protected file using your own full DOB as the password. KA Fertility is GDPR compliant and all personal details are stored in our secured patient database

Price

We believe in price transparency at all times. The price of a combined HPV Screening Test charged to us by our laboratory partners Biominis, is €100. In addition to the laboratory cost, in order to manage your care from initial consultation & medical review with Leading International Gynaecologist Dr. Kent Ayers, we charge a Consultation fee of €95 – this is a reduced consultation fee to support our patients during Covid This includes a Consultant Review, carrying out the smear sample, providing a report directly to you & your GP, (and if required, to escalate a further referral to our network of Partner Consultants at Public or Private Clinics). So the total Price inclusive of test and consultation is €195.00.

Name*
First Last
Address
Street Address Address Line 2 City County Eircode Country
Date of Birth
Date Format: MM slash DD slash YYYY
Email*
Phone*
GP Name
Street Address Address Line 2 City County Eircode Country
GP Email Address WE NEED THIS TO SEND THE RESULTS TO YOUR GP. IF YOU DO NOT HAVE A GP OR GP EMAIL PLEASE ENTER YOUR OWN EMAIL. THIS FORM WILL NOT COMPLETE WITHOUT AN EMAIL ADDRESS HERE. THANK YOU
When was your last Cervical Smear ?
What was the result / Outcome ?
Are you*
Do you have any children?*
Brief Summary of your Medical History and (if any)Pregnancy History
Contact Permission
I Agree to be contacted by phone & email in relation to this enquiry & that my results can be sent to my GP*
- YES
Patient Database Protection Permission Agreement
To facilitate your patient care, we need your permission to contact you and any other medical service providers agreed with you, during the course of your treatment, by email, SMS, phone and other electronic means. We'll always treat your personal details with the utmost care and will never sell them to other companies for marketing purposes. All personal data which is emailed, is encrypted, password protected & GDPR compliant
Date
Date Format: MM slash DD slash YYYY
PAP & HPV Cervical Screen + Consultant Appointment €225- DISCOUNTED COVID SUPPORT PRICE €195
Price: 195,00 €
Where did you hear about this service?*
- I’m an existing patient
- GP Referral
- From a Friend
- Google
- Facebook
- Our Website
- Other?

Book Your Online Cervical Screen Appointment

Price

Contact Permission

Patient Database Protection Permission Agreement