Partner Notification

Partner Notification

Partner Notification is the process of informing sexual partners or people who inject drugs that they may be at risk of an infection. Our service takes privacy very seriously. All information is encrypted, transmitted and stored securely. Once the submission is received you’ll be contacted to verify the referral before any action is taken. There are 3 sections to this form. In order to reach the right person we need information about you, the person to be notified and any possible ways we can contact them. You may also provide this resource to your client. Please inform them that notification by us is strictly confidential. Complete each section with as much detail as possible.
 

indicates a mandatory field.

Information about you

Would you like to be informed of outcome?

Please provide details about how & when you tried

Information about the person to be notified

Please provide as much information as possible even if it's partial. This will influence the success of partners being notified.