Condoms by Post – Order Form

If you live in the Highlands or Argyll and Bute we can send you free condoms and lubricant. You can try a starter pack or sign up for a regular order. Regular orders are sent out every 2 months for 12 months. Using condoms and lubricant can help prevent HIV and other sexually transmitted infections.

The details you submit in this form will only be used in relation to this service, and we will never share your details with any other agency.

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Your Details

* Indicates required field

Full Name:

Address:

Town/City:

Postcode:

Please select your preferred method of communication*:
Alongside posting out your condom order, we may occasionally need to get in touch with an update (e.g. if there is a significant delay to delivery). Please select how you would like us to get in touch from the options below. We will only use your details to contact you about this service and will never share your details with any other agency.

Email:

Mobile Number:

Your Order

We offer a wide selection of condoms to suit your needs. If this is your first order, or you're not sure what you need, you might want to try our Starter Pack, which has a selection of condom types for you to try (including different sizes, etc).

* Indicates required field

Would you like to order a one-off Starter Pack?

Please choose the condoms and lubricant you require from the options below – your selection will be sent out to you every 2 months for a 12 month period. To help us continue offering the Condoms by Post service, please only order what you need. Please note, there is a maximum limit of 100 items per order.

Natural/Regular Condoms

Conform/Trim Condoms (closer fit)

Kingsize/Large Condoms

Intensity/Ribbed Condoms

Flavoured Condoms

Protector/Extra Condoms (thicker latex)

Female Condoms (femidoms)

Lubricant (10ml sachets)

Latex Free Condoms

Help us to improve this service

To help us find out more about how the Condoms by Post service is being used, and to help us improve it in future, we'd be grateful if you would take a minute to tell us a little more about you.

This section is optional and your answers will not affect your order in any way.

Are you happy to answer a few questions?


Please select one option from each of the questions below:

How old are you?


What is your gender identity?

If Other please specify


Are your sexual partners:

If Other please specify


How long have you been using the Condoms by Post service?


When did you last access HIV/STI screening?


Do you have any suggestions about how we could improve the service?

Review and Place Order

Almost there! Before clicking ‘submit’ please confirm that you have read the information on how we will handle your personal data, and review your order below.

How we will handle your personal data: The details you submit in this form will only be used in relation to this service, and we will never share your details with any other agency. Waverley Care is committed to handling personal data in a responsible manner. Any details you submit through this form will be stored securely. If you decide to cancel your order at any time, or you chose to stop receiving orders after the initial 12 month period, we will delete all personal information that could be used to identify you. We will, however, retain non-identifying information for the purposes of analysing and improving how the Condoms by Post service is used.