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Booking Request

Share Health, Share Love: Free Cervical Screening Programme

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Share Health, Share Love: Free Cervical Screening Programme
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 and Conditions

  • Co-test is only applicable to female aged 30 or above who have ever had sexual experience. Co-test is not applicable to female who are having menses / have never had sexual experience / are aged under 30.
  • Applicant must have never had cervical cytology or the test is due.
  • Applicant is required to pay for additional services that are not covered by this Programme.
  • Applicant is required to submit the online application form on or before 15 Dec 2025. Late application will not be accepted.
  • Applicant is required to undergo Co-test on or before 31 Dec 2025. If the captioned service cannot be completed by the above date, the application shall be deemed abandoned.
  • Applicant is required to produce the (1) the electronic copy, printed copy or captured photo of FPAHK email notification, (2) the original Hong Kong Identity Card, (3) the original valid documents of Comprehensive Social Security Assistance (CSSA) Scheme or Working Family Allowance (WFA) Scheme and (4) applicant's original of Hong Kong residential address proof in the past six months upon her visit for verification of identity and eligibility. If the above-mentioned email notification or documents cannot be produced / the above-mentioned document is inconsistent with the information provided in online application, FPAHK has the right to refuse service provision.
  • Service quota is on a first-come-first-served basis, the Programme will cease accepting application if the quota is full.
  • The Programme is subject to the latest information on the FPAHK website. This Programme is subject to change without prior notice. In the case of any dispute, the decision of FPAHK shall be final.

The Collection and Use of Personal Data Statement

The provision of personal data is voluntary and it will be used by The Family Planning Association of Hong Kong (FPAHK) for communication, handling applications and enquiries, providing service and other follow-ups. Apart from the above usage, all personal data will be kept confidential, handled strictly in accordance with applicable laws. Unless permitted or required by law, all personal data will not be disclosed or transferred to any third parties without your prior consent. FPAHK will only retain personal information for so long as it is necessary for the fulfillment of the purpose (including any directly related purpose) for which the data is collected. When the personal information that we collect is no longer required, we will destroy or delete it in a secure manner. You have a right of access and correction with respect to your personal data as provided for in sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. If you wish to access and correct your personal data, please contact us through email at fpahk@famplan.org.hk.

The Use of Personal Data for Promotional Purpose

FPAHK would like to provide our promotional information to you by email according to the contact information you have provided (including name, email address etc.). 

Even if you agree to receive FPAHK promotional information now, you may change your mind in the future. Please notify us of your name and email address through email, we will stop sending any promotional information to you.

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

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Please note: submission of the above information does not constitute acceptance of an application. Applicants are required to produce the original of valid documents when attending the clinic to confirm their eligibility for this Programme.
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