Mercy Hauora - Order your Bowel Screening kit

Request your bowel screening kit for $115 + GST
Enter your details below and we will send you an invoice. Once payment is received, your kit will be on the way!
Recommended for 45+ or the following risk factors: A family history of bowel disease and/or a change in bowel habits for 6 weeks or longer, rectal bleeding or blood in the stool
First name
Last name
Email
NHI Number
NHICHECK
NHISTATUS
Phone

Location

Address Mail Formatted
Birthdate
Day - Month - Year
Consent Declaration
I agree to take part in the Bowel screening programme and that MercyAscot can share relevant information about me to deliver the programme. I confirm that MercyAscot can contact me on the email and phone number provided - regarding this programme, my kit and my results.
I agree to MercyAscot sharing my information, including the results of my screening test with my family doctor (GP) and advising them that I am entering this programme. If you don’t agree to this, you can still take part in the programme.
Name of Family Doctor
Name of Doctor's GP Practice
FAMILY DOCTOR'S GP CONTACT DETAILS (IF KNOWN)
Protecting your privacy
To take part in this programme, MercyAscot will need to be able to share certain information about you including your contact details, date of birth, the results of your screening test and (if you choose) your doctor's details.
You have rights under the Privacy Act to access, check and correct, or ask for a copy of any information about you held by MercyAscot.
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Datetime
Day - Month - Year

Purchase your bowel screening kit