Online appointment cancellations

Disclaimer - please read - To use this system, you will have to enter information about yourself that will be sent to us across the internet. This information is not encrypted, but will be no less secure than a normal email. We can not guarantee that this information will not be seen by others, but provisions have been taken to protect the data.

This system is only checked once each day early in the morning so at least 24 hours notice must be given.

Personal Details

Full Name	Enter Name
Date of Birth	Enter DOB
Address	Enter Address
Post Code	Enter Postcode
Home Tel	Enter Telephone
Email Address	Enter EmailInvalid format
Other way of contacting you

To Cancel appointment with

Doctor Nurse Counsellor Other	Please insert a name Enter Name
Date / time of appt	Enter Date/Time
Additional information
We recommend that you print off and keep a copy of the acceptance page [which pops up after the submit button is pressed]
	Your Full Name is missing Your Date of Birth is missing Your Address is missing Your Postcode is missing Your Home Telephone is missing Your Email Address is missing Your Email Address format is invalid Your Name of Appointment With is missing Your Date & Time of Appointment is missing
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