National Cervical Screening Program – colposcopy and treatment form

Download a single copy of this form, or order in pads of 50, to record details of colposcopy and treatment under the National Cervical Screening Program.


National Cervical Screening Program – colposcopy and treatment form

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Order this resource

Order ID:

You can order this resource by contacting National Mailing and Marketing:

Email -

Phone - 02 6269 1080

Quote the order ID number above, the quantity of the resource you wish to order and provide your delivery address.

Publication date:
Date last updated:
Publication type:
Health sector

Health professionals should download and complete this form to notify a person’s cervical screening information. This includes:

  • patient and health professional details
  • diagnostic information
  • treatment details

The form also includes:

  • instructions on how to complete and lodge the form
  • definitions of fields in the form
  • statements on privacy for practitioners and participants

Help us improve

If you would like a response please use the enquiries form instead.