Skip to content

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here. Hide this message

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.

A receptionist at an information stand reading some paperwork

Your Visit

Chinese Poland

View all languages >

Resident doctor strike action

Resident doctors will be taking strike action from 7am on 17 December to 7am on 22 December. Some appointments and procedures may be affected. If your appointment needs to be changed, we will contact you.

If you've not heard from us, please attend your appointment as planned.

Please continue to come forward for care, particularly in an emergency or life-threatening situation. Use NHS 111 to find the most appropriate service for your needs.