Online appointment request for testing at the Sexual Health Centre.

We will assess your application according to the criteria that the RIVM (National Institute for Public
Health and Environment) have established to carry out a test.

Your application may lead to an appointment at the Sexual Health Centre, but you may also
be referred to your GP or another agency.

We ask you to fill in the questions as carefully and honestly as possible.
Your information will be treated confidentially.

Completing the application takes 5 to 10 minutes.

Young people up to 24 years from Westland can make an appointment for the Sense consultations in 's-Gravenzande from March 5. This consultations are every Wednesday from 10 AM to 15 PM.

Do you have STD related symptoms?

Yes

No

If you have physical symptoms, please call us to make an appointment.
You can reach us on workdays from 9:00 to 17:00. Our telephone number is: (070) 353 66 88.

What is your date of birth?

(dd-mm-yyyy)

What was the sex you were registered with at birth?

As male

As female

Do you identify yourself with a different sex than the one you were born with?

No

Yes

What sex do you identify with?

Male

Female

Both male and female

Neither male nor female

I don’t know (yet)

Other

Did you had a sex reassignment surgery (vaginal construction)?

No

Yes

Did you had a sex reassignment surgery (penis construction)?

No

Yes

Are you 17 years old or younger?

No

Yes

What is your postal code?

Why do you want to make an appointment?

An STD test

An examination of sexually transmitted diseases.

A SENSE consultation (for young people up to 24 years old)

During a SENSE consultation you can ask questions about everything related to being sexually healthy, such as contraception, enjoyable sex, sexual problems or sexual contact against your will.

An STD and a SENSE consultation (for young people up to 24 years old)

Have you had any anal unprotected sexual contact in the past 72 hours? (Optional)

Yes

No

Possible PEP indication, call Sexual Health Centre.Did you fuck without a condom? And weren't you protected against hiv by PrEP? Check out if you need PEP, to prevent getting infected by hiv. Contact us by telephone. Call 070-3536688 for an appointment on weekdays from 9:00 to 12:00 or 13:00 to 16:00. For more information about PEP look at Mantotman.nl/pep.

No PEP indication, in case of doubt call Sexual Health Centre.You are probably not eligible for PEP, if in doubt call 070-3536688 on weekdays from 9:00 to 12:00 or 13:00 to 16:00. For more information about PEP look at Mantotman.nl/pep.

Make an appointment

If you have physical symptoms, please call us to make an appointment.
You can reach us on workdays from 9:00 to 17:00. Our telephone number is: (070) 353 66 88.

Check data

Choose a date

Complete

Make an appointment

If you have physical symptoms, please call us to make an appointment. You can reach us on workdays from 9:00 to 17:00. Our telephone number is: (070) 353 66 88.

Check data

Choose a date

Complete

If you have physical symptoms, please call us to make an appointment.
You can reach us on workdays from 9:00 to 17:00. Our telephone number is: (070) 353 66 88.