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. Please 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

0300 131 4600
Monday to Friday – 8am to 6pm
Saturday – 9am to 12pm

Cancel or reschedule your outpatient appointment

About You

Name*

First

Last

Date of Birth*

NHS Number (if known)

(this is a 10 digital number)

Hospital Number

(Usually found at the top of your appointment letter)

Home Telephone

Mobile Telephone

Your Appointment

Department*

Hospital / Community Location*

Date of Appointment*

Time of Appointment*

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:

Telephone

Email*

Please ensure you enter your email address carefully, as you will be sent a confirmation message.

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.

Important

This website is secure and the information you enter on this form is secure (please see the padlock symbol in the address bar). The information you submit on this form is NOT stored on this website.