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You are here: Home > Coming into hospital > Cancel or defer your surgery or procedure

Coming into hospital

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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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Providing care together in York, Scarborough, Bridlington, Malton, Whitby, Selby and Easingwold communities

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York and Scarborough Teaching Hospitals NHS Foundation Trust is registered, and therefore licensed to provide services, by the Care Quality Commission (Provider ID: 1-114394658). For more information, visit www.cqc.org.uk

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.