Cancel an Appointment

Please let us know as soon as possible if you are unable to make your appointment by completing the form below. In future you may wish to register for online services to have the ability to Book or Cancel an Appointment, Request a Repeat Prescription, Change Personal Details and View your Medical Records without visiting the practice.

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

Postcode *

Appointment Details

Appointment Type *

Name of Doctor or Nurse

Appointment Date *

Appointment Time *

The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.

I confirm the information I’ve given is correct and I understand how it will be used

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Page last reviewed: 14 October 2026
Page created: 14 October 2026

Cancel an Appointment

Further Information