Outpatient appointment request form

This form can be used to book, cancel and change outpatient appointments

The Patient Contact Centre aims to process this request within two working days, however if full details are not provided it may take longer.

This form is not suitable for on the day or next day cancellations. To contact us about these please phone the Patient Contact Centre on 01865 231405. Lines are open Monday to Friday 8am to 6pm

This form sends information to a hospital email address. We will always treat the information you send us with the strictest confidence and will not pass any information on to a third party. However, if you feel concerned about the security of your information when using this form, please telephone us on 01865 231405 instead.

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