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Cancel your appointment

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 recieve text reminders of your appointment*

Email

Your existing appointment

Date of appointment (DD/MM/YY)*

Time of appointment*

Consultant name

Department

Reason for the cancellation*

If other, please specifiy why:

Re-booking your appointment

Would you like to re-book another appointment?*

State a suitable time to contact you

* required fields

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We are currently working with reduced staffing levels within the Contact Centre.  This may mean that some of our patients encounter extended wait times when calling the Contact Centre.  This is not the level of service we wish to offer our patients and we are working hard to improve the situation.  If you wish to request to reschedule or cancel your appointment, you can complete our online form

We apologise for the inconvenience caused.