Cancel an Appointment - Birchwood Medical Practice

Please complete the form below if you need to cancel an appointment.

* – fields required

Appointment Cancellation form

Forename: *

Surname: *

Date of Birth *

Address

Postcode

City

Country

Home Telephone:

Mobile:

Email Address:

Repeat Email Address:

Date of Appointment: *

Time of appointment: *

Who is your appointment with? *

Further Details:

Please note that we do experience late cancellations which we cannot utilise. We have a policy in place for repeated late cancellations :

Cancellations received less than 2 working hours prior to an appointment will be recorded as a “Did Not Attend” and repeat “Did Not Attends” will impact on your ability to remain registered with the practice as we need to ensure all patients have access to appointments and they are not wasted due to non attendance or late cancellation by other patients.

Please help us to help you by cancelling more than 2 working hours in advance.