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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.
Date of birth (DD/MM/YY)*
Would you like to receive text reminders of your appointment*
Date of appointment (DD/MM/YY)*
Bridlington HospitalMalton Community HospitalNelsons CourtScarborough HospitalSt Monica's EasingwoldThe New Selby War Memorial HospitalWhite Cross CourtYork Hospital
Time of appointment*
Reason for the cancellation*
Can't make the day/timeAppointment no longer neededNot well enough to attendOther
If other, please specify why:
Would you like to re-book another appointment?*
* required fields
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