Cervical Cancer Vaccine Reminder

The cervical cancer vaccine helps prevent certain types of cervical cancer and pre-cancerous abnormalities in women.

The vaccine may also prevent some other human papillomavirus (HPV) related diseases.

Cervical cancer vaccine is a course of 3 doses, for optimal protection it is important that you complete the course.

To help you keep a record of the vaccinations and to receive a handy reminder email or SMS please fill out the form at the left.

Vaccination plus regular Pap smears offers you an ideal prevention strategy against both cervical cancer and pre-cancerous abnormalities.

Welcome to the Cervical Cancer Vaccine Reminder Service. By completing the form below you will receive an SMS reminder message notifying you of the due date for your next vaccine, which could be either your second or third dose. It only takes a minute or two to complete, but will ensure that you successfully complete the vaccination program.

Your Vaccination Details

Have you already started the vaccination program?: *

Yes

Please consult your medical doctor for further information

Which of the 3 doses have you received?: *

First dose

First and second dose

First, second and third dose

What was the date of your first dose?:

* By completing this information you will receive a reminder when your second dose is due.

What was the date of your second dose?:

* By completing this information you will receive a reminder when your third dose is due.

You have completed the full course of three doses which is important for long term protection. Remember to continue with regular Pap tests.

Postcode: *

Your year of birth: *

Gender: *

Your Reminder Preferences

Please fill out at least one or both of the following fields so that we can send you reminders for your second and third doses of the vaccine.

Your Email Address:

for an automatic email reminder

Your mobile phone number:

for SMS reminders

What most motivated you to go and get the cervical cancer vaccine?:

Registration by a Legal Guardian

For individuals less than 16 years of age*:

Yes, I acknowledge that registration was performed by the legal guardian.

Mandatory if under 16 years of age

Optional Fields

Your doctor's phone number:

If you would like your medical clinic's phone number to be included in your SMS reminder, please add it here

I have read and understood the Legal & Privacy Policy.

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Developed as a service by CSL Biotherapies
Don't forget: You must continue your regular pap tests

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"I chose to help protect myself against cervical cancer"

Cervical Cancer Vaccine Reminder