The Cervix Self-Screening is available to people with a cervix, including women and transgender people, who:

  • Currently live in Coquitlam, New Westminster, Port Coquitlam, Port Moody, Belcarra, Anmore, Earl's Cove, Langdale, Madeira Park, Pender Harbour, Sechelt, Robert's Creek, Gibsons, Pemberton, Port Alberni, Parksville, Qualicum Beach, Lighthouse Country, Coombs, Errington, and Nanoose Bay.
  • Are due for a Pap (have not had one in the last three years)
  • Are between the ages of 25-69.
Who should get screened for cervix cancer

Request a Screening Kit

By phone: please call 1-877-702-6566 and have your BC Services Card/CareCard and the name of your primary care provider available if you have one.


Eligible age for screening is 25-69

If you do not have a primary care provider leave blank or type none. If follow-up is needed after screening you will be linked to a clinic in a pilot community.

Cervix Self-Screening is not recommended for people who are pregnant, have had a total hysterectomy, have had a solid organ transplant or who are HIV positive. Please speak with a health care provider about your screening options.

Please note information in this form may be routed outside of Canada in transit as metadata. Formspree utilizes AWS cloud platform which may be subject to laws that may compel it to disclose your personal information without notifying PHSA. In accordance with FIPPA s. 33(2)(v)(i), PHSA completed an assessment to ensure that safeguards are in place to secure your personal information. If you have any questions about the collection and use of your personal information, please contact For more information about privacy please visit