Outpatient Appointment Cancellation Form

Do not use form if appointment within 2 days

Please provide details about yourself

Your NHS number should be visible on the top right of your Appointment Letter

Please note:

Antenatal appointments must be cancelled by contacting the department on 0161 922 6169.

Please do not use this form, the appointment will not get cancelled.

Please provide information regarding the appointment you wish to cancel
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The Next Step
What would you like to do next? *

If you are re-booking please would you provide any date/s that you would be unavailable to attend an appointment (planned holidays etc..)

Official Booking Office Use only