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Booking Request

Cervical Health．I Care！ Campaign

Please complete the form below

* Mandatory Fields

Cervical Health．I Care！ Campaign
HK$ 0
* Please select Venue
* Please select Venue
* Please select Meeting Time
Available time on
* Please select Appointment Time
Available Date
Selected Date

Before filling the form below, please select the date and time first!
* Please input Last Name
same as Hong Kong Identity Card
* Please input First Name
same as Hong Kong Identity Card
* Please input Email Address
* Please input a valid Email Address
Please provide an accurate email address and ensure the email account can receive emails
* Please input Hong Kong Contact Tel. No.
* Please input a valid Hong Kong Contact Tel. No.
Please provide an accurate phone number and ensure the phone number can receive phone calls
* Please select Gender
* Please input Last four digits or letters of Hong Kong Identity Card
* Please select
* Please input The validity date on the government assistance document is until
* Please select No. of Eligible Applicants

Part A: Main Applicant

* Please input Last Name
same as Hong Kong Identity Card
* Please input First Name
same as Hong Kong Identity Card
Please provide an accurate phone number and ensure the phone number can receive phone calls
* Please input Hong Kong Contact Tel. No.
* Please input a valid Hong Kong Contact Tel. No.
* Please input Hong Kong Contact Tel. No.(Night)
* Please input a valid Hong Kong Contact Tel. No.(Night)
Please provide an accurate email address and ensure the email account can receive emails
* Please input Email Address
* Please input a valid Email Address
* Please select Gender
* Please input Last four digits or letters of Hong Kong Identity Card
* Please select
* Please input The validity date on the government assistance document is until
* Please input Fax Number
* Please input a valid Fax Number

Part B: Applicant 2

* Please input Last Name
same as Hong Kong Identity Card
* Please input First Name
same as Hong Kong Identity Card
Please provide an accurate phone number and ensure the phone number can receive phone calls
* Please input Hong Kong Contact Tel. No.
* Please input a valid Hong Kong Contact Tel. No.
* Please input Hong Kong Contact Tel. No.(Night)
* Please input a valid Hong Kong Contact Tel. No.(Night)
Please provide an accurate email address and ensure the email account can receive emails
* Please input Email Address
* Please input a valid Email Address
* Please select Gender
* Please input Last four digits or letters of Hong Kong Identity Card
* Please select
* Please input The validity date on the government assistance document is until
* Please input Fax Number
* Please input a valid Fax Number
* Please input Year
* Please input Length
month(s)
* Please select Marital Status

Terms & Conditions

  • HK$100 discount is only applicable to the first 100 clients who successfully schedule an appointment for our Cervical Screening Service. Service quota is limited on a first-come, first-served basis and is subject to clients’ attendance at FPAHK Clinic. If the service quota is full, no new booking will be accepted. 
  • Co-test is only applicable to female aged 30 or above who have ever had sexual experience.
  • Cervical Screening is not suitable to female who are having menses / have never had sexual experience. Please consult healthcare professionals if necessary. 
  • Client must have never had cervical screening or be due for the test.
  • Client requesting services other than Cervical Screening is required to pay for additional service fees.
  • All clients are required to submit the online booking request form and call FPAHK clinic directly to schedule your appointment for cervical screening on or before 16 November 2026. Late application will not be accepted.
  • All clients are required to attend the FPAHK clinic in person at your scheduled time for cervical screening on or before 30 November 2026. If the captioned service cannot be completed by the above date, the booking shall be deemed abandoned.
  • Client is required to produce the electronic copy, printed copy or captured photo of FPAHK email notification, and the original of identity documents for registration upon her visit. If the above-mentioned information cannot be produced / the above-mentioned information is inconsistent with the information provided in online form, FPAHK has the right to refuse service provision.
  • The Campaign is subject to the latest information on the FPAHK website. The Campaign is subject to change without prior notice. In the case of any dispute, the decision of FPAHK shall be final.

The Use of Personal Data for Promotional Purpose

The Association intends to use the personal data you provide to send you information about our latest developments, activities, promotions, and fundraising initiatives, activities, purchase, communication and including but not limited to those of The Family Planning Association of Hong Kong and the Women’s Club.

You have the right to withdraw your consent or opt out of receiving such information at any time. You also have the right to access and correct your personal data. If you wish to stop receiving such information, or access or correct your personal data, please submit a written request to the Association.

Please tick (✓) the appropriate boxes below if you agree.

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