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Coming into hospital

Request to cancel or defer surgery

This form is for cancelling or requesting a change to your planned operation at one of our hospitals only.

Please complete the form below to notify us of your request.

Your details

NHS number

Full name*

Address*

Date of birth (DD/MM/YY)*

Telephone (home)*

Telephone (mobile)

Email*

Consultant name if known

Department

Reason for cancellation/deferral request*

If other, please specifiy why:

Email 2*:

* required fields

If your surgery is today, please call the Contact Centre on 01904 726400.

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Your Visit

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Important alert: Phone line disruption

We want to let you know that our hospital phone lines are currently experiencing technical difficulties and are temporarily unavailable. We understand this may cause inconvenience, and we sincerely apologise.

You can find helpful information about your visit, like how to get here and what to bring, on our website.

If you wish to cancel your appointment, you can use our online cancellation form

Our team is working urgently to resolve the issue and restore phone service as soon as possible.

Thank you for your patience and understanding.

Industrial action: 14 - 19 November

The British Medical Association has announced that resident doctors in England will stage industrial action from 7am on 14 November to 7am on 19 November.

During this time, some of our services may be affected. We will contact you directly if your appointment needs to be changed. Otherwise, please attend your appointment as planned.