Referrals – Cheshire West and Chester

Visit this page to access referral forms for Cheshire West and Chester

Primary care urgent referral form

The primary care urgent referral form should be completed by primary care colleagues across Cheshire West and Chester to refer patients from their practice into the specialist sexual health service.

Urgent referrals can be made for the patients below:

  • Patients who have tested positive for Gonorrhoea/Syphilis or HIV
  • Patients who require an IUD (copper coil) for emergency contraception

This form should be completed by a registered professional.

We aim to contact your patients within 48 hours of a referral (or the next working day if this is a bank holiday or weekend) appropriate to the reason for referral.

PrEP referral form

Please complete the PrEP referral form and send the form via email with the subject heading: PrEP Referral to:

For more information on PrEP please visit PrEP (pre-exposure prophylaxis) | Terrence Higgins Trust (

LARC complex referrals

Before making a referral to sexual health services for a complex removal or fitting or a referral for a vulnerable patient please review the LARC referral guidance

Please complete the complex LARC referral form and send form via email with the  subject heading Complex LARC Referral to:

Outreach services

We provide bespoke targeted outreach to:

  • Young people
  • LGBTQ+ communities
  • The homeless
  • Drug/alcohol misuse
  • Sex workers
  • Asylum seekers
  • Romany Gypsy, Roma and Traveller communities

We have partnered with fellow specialists Body Positive, who are a Cheshire based charity working in the fields of sexual health and LGBT+ awareness. We aim to provide quick, easy, and confidential access to our service. The best way to access our outreach services is to email and we aim to respond within 5 working days.

More information can be found here: Home – Body Positive (

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