Appointment Form

Cancel or Re-book Your Outpatient Appointment

Cancel or Re-book Your Outpatient Appointment

* Indicates mandatory fields

Please note, we use mobile phone number to send out free text reminders for your appointments, if you do not wish to receive one please indicate below or contact the Appointment centre on 08000 158 222 to have your number removed from our reminder list, however, if you opt out of receiving a reminder and subsequently fail to attend for an appointment, you may be discharged and returned to the care of your GP.

Text Reminders

Please note, the Trust plans to introduce an e-mail appointment reminder service.  Please indicate below if you do not wish to receive e-mail reminders

Email Reminders
What would you like to do?*

If you are cancelling and re-booking an appointment we will contact you to re-arrange.

How would you like us to contact you?

If you have selected to be contacted by mobile or home phone, the Appointment Centre is open from 8am to 7pm Monday to Friday and 9am to 12 noon Saturday, please identify in the comment box below the best time of day for us to contact you.

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