Cancel or reschedule your outpatient appointment

Please use the form below to cancel or reschedule your Outpatient appointment at one of our hospitals or community locations. Complete the form at least two working days before your scheduled appointment.

If the department you are attending does not appear in the form, please contact the department directly. The contact details should be on your appointment letter.

Appointment centre

If you have any queries regarding your appointment please contact the Appointment Centre.

Appointment Centre

(01424) 758044
Monday to Friday – 8.00am to 6.00pm
Saturday – 9.00am to 12noon

Cancel or reschedule your outpatient appointment

About You
Name*

First

Last
Date of Birth*

Date Format: DD slash MM slash YYYY
NHS Number
Hospital Number
Home Telephone
Mobile Telephone
Your Appointment
Department*
Hospital / Community Location*
Date of Appointment*

Date Format: DD slash MM slash YYYY
Time of Appointment*
:
HH

MM
What would you like to do?
I want to:
- RESCHEDULE - I would like to move this appointment.
- CANCEL - I no longer need this appointment.
Reason for reschedule / cancellation
If you selected 'RESCHEDULE' or 'CANCEL' above please provide a contact telephone number or an email address below:
Phone
Email*

Enter Email

Confirm Email

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Missed appointment

If you have already missed your appointment, please do not complete this form. We will get in touch with you once your clinician has decided if further treatment is required.

Day Case or Inpatient procedure

Contact the Admissions Team directly. The contact details can be found on the letter you have received with your operation date. Please don’t use the form on this page.

After you’ve sent the form

You may have to wait a few days for a response after completing this form.

We will attempt to contact you by phone to reschedule your appointment, however if no contact is made a new appointment will be sent to you in the post.