Let us get you started

Answer a few simple questions so we can guide you to the right next step. This is intake and pre-screening before the actual clinical screening at the facility.

Already have a tracking number / UID?

If you came with a chit or QR link, use it here so we do not create a duplicate person.

Step 1 of 617%
Step 1

Who is this intake for today?

Tap one option to select it and continue.

Step 2

Tell us a little about the person

Use date of birth if known. If it is not known, enter age in years instead.

If known, this is preferred over entering age below.
Use this when date of birth is not known.
Step 3

Where should we place this intake?

Choose the nearest site first. We will narrow the CHU list where possible.

Choose the nearest site first. We will narrow the CHU list where possible.
If one CHU is linked to the selected site, it will be chosen automatically.
Default follows the calendar year.
Step 4

What would you like to screen for today?

Select all that apply.

Do you have any of the following symptoms?

Select all that apply. You can request screening even if you have no symptoms.

A few more questions about urinary symptoms

Shown only when needed.

Step 5

What might stop you from attending screening?

Select all that apply.

Step 6

Please check your details

Keep the review plain and practical.

Please make sure these details are correct before continuing.