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Outpatients

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Appointment cancellation form

This form is for cancelling an appointment at one of our hospitals only.

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

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

Your details

NHS number

Full name*

Address*

Date of birth (DD/MM/YY)*

Telephone (home)*

Telephone (mobile)

Would you like to receive text reminders of your appointment*

Email

Your existing appointment

Date of appointment (DD/MM/YY)*

Hospital*

Time of appointment*

Consultant name

Department

Reason for the cancellation*

If other, please specify why:

Re-booking your appointment

Would you like to re-book another appointment?*

* required fields

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Staff Benefits

Hull York Medical School

Y&S Hospitals Charity

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

Help us keep everyone safe this winter

We’re asking everyone to please help protect our patients, visitors and employees during the winter months.

If you’re feeling unwell, please don’t visit our hospitals - even for appointments or to see loved ones, unless it’s in exceptional circumstances such as end-of-life care or maternity.

Colds, flu, Covid and norovirus (sickness and diarrhoea) can spread easily and cause serious illness in vulnerable patients.

Please only come in once you’ve been free of symptoms for at least 48 hours.

When you do visit:

Wash your hands with soap and water when you arrive and before you leave the ward (hand sanitiser alone is not enough).
Please don’t sit on patients’ beds, or eat and drink at the bedside.
And if you’re asked to wear a mask, please do so.

Thank you for helping us keep everyone safe this winter.