Rearrange or Cancel An Appointment

Patients can use this electronic option to cancel a pre-booked appointment if they meet a certain criteria.

Cancel / Rearrange an appointment

We understand at times, you may need to cancel your appointment with us. If your appointment is more than 2 working days away you can simply complete this form and let us know.

If it is less than 48 hours, we ask that you call us at the surgery.

I confirm my appointment is more than two working days in the future. *

Yes No

What time is your appointment? *

Reason for changing your appointment...

Finally, would you like to rearrange the appointment or cancel it completely? *

Rearrange my appointment please

Cancel my appointment please

Full Name *

Date Of Birth *

First Line of registered address *

Who is your appointment with? *

What date is your appointment? *

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Page last reviewed: 21 March 2022
Page created: 08 June 2021

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Rearrange or Cancel An Appointment

Rearrange or Cancel An Appointment

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