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Outpatients appointment cancellation and rescheduling form

If you have an outpatient clinic appointment booked with UHBW but would like to change or cancel the date, please complete the form below.

Please note that this form can only be used to change or cancel existing outpatients appointments. It can't be used to book an appointment or for any other appointment type (e.g. day case). For Radiology or Oncology appointments, please do not use this form, instead call the number on your appointment letter or the main switchboard on 0117 923 0000.

We will always treat the information you send us with the strictest confidence and will not pass any information on to third parties. 

Please complete all of the fields below to change or cancel your appointment

    If Yes (please specify)