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Oxford University Hospitals NHS Foundation Trust

Coronavirus / COVID-19

If you have a new continuous cough and/or high temperaturedo not come to our hospitalsFollow the national advice and stay at home for seven days

Important information about our services and restrictions on visiting our hospitals can be found in the COVID-19 section.

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Outpatient appointment request form

This form can be used to book, cancel and change outpatient appointments at the John Radcliffe Hospital, Churchill Hospital and Horton General Hospital

The Patient Contact Centre will deal with your request, usually within two working days. However, it may take longer if full details are not provided.

The information you submit via this form is secure. However, if you provide an email address in this form, we may contact you by email; these emails will include some or all of the personal information that you give us in this form. Please note that emails are not a secure method of communication. If you are concerned about your personal information being sent in this way, please telephone the Patient Contact Centre instead.

Patient Contact Centre (leave a voicemail out of hours and we will respond as soon as possible)
Tel: 01865 231405
Opening hours: Monday to Friday 8.00am - 6.00pm except bank holidays

If you would like to know more about how your information is processed or about your data rights, please see the Trust privacy notice.

Fields marked * are required.

Your Details
Address
NHS Details
Preferred contact method

Please choose how you would prefer to be contacted about this appointment request. *  

What would you like to do?

Please choose one from the following *  






Consent

We will use the information provided for the purposes of processing your request to book, cancel or change your outpatient appointment. We will not pass your details onto third parties. For full details of how we collect and use your information, see our Trust privacy notice.

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