LGBT Foundation offers free, confidential spaces to talk about sexual health, sexual pleasure, STIs and HIV, contraception, and any other topics you may wish to discuss. If you are an LGBT+ person living in Greater Manchester and would like to speak to a member of the team fill out a form below.
If you are a professional filling out this form for a service user, please ensure that you have obtained the person’s consent for us to speak to them.

By completing this form and clicking 'submit' below, I understand and agree to the following;

LGBT Foundation will collect information about you and the care you receive, this includes your referral form, assessments notes, paperwork related to the services that you access and correspondence related to your care.

My information will either be stored in paper form and/or in electronic records. All data that is collected is subject to the strict rules of confidentiality laid down by Acts of Parliament, including the Data Protection Act 1998 and the Health and Social Care Act 2001.

LGBT Foundation may also get information about me from certain other organisations or give information about me to them inlcuding: to make sure the information is accurate, prevent or detect crime or significant risk, and protect public funds. These organisations include local authorities, the police and or other healthcare professionals.

What is preferred method of contact? (Required)

Postal Address (Required)
What is your preferred pronoun? (he/him, she/her, they/them, ze/zir etc.)
What is your current age? (Required)
Which of the following best describes how you think of yourself?
In another way - please provide details here
Is your gender identity the same as when given at birth?
Sexual Orientation - which of the options best describes you?
Ethnicity - which of the options best describes you?
What issue would you like to discuss?
Are you experiencing any symptoms of an STI? (Required)
Have you had unprotected sex (no condom, no PrEP) in the last 72 hours? (Required)
If so, how long ago (approximately)?
What is the best time to contact you about your query? (days/dates/times) (Required)