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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.
Unless otherwise stated fields are required.
Please enter your name
Please enter your date of birth e.g. 07 08 1969
Please enter your address
Please enter your NHS number and GP details
Please choose how you would like us to contact you
Please let us know what you would like to do by completing the fields below.
Please choose one of the following
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.