Cancel an appointment - Tudor Gate Surgery

If you need to cancel an appointment, and the appointment is MORE than 48 hours away, please complete the form below.
If your appointment is LESS than 48 hours away, please call the surgery on 01873 855991 to cancel your appointment so that it may be allocated to another patient.

In future you may wish to register for online services to have the ability to Book or Cancel an Appointment, request a Repeat Prescription, Change Personal Details and View your Medical Records without visiting the practice.

Name

Date of Birth

Phone Number

Email Address

Postcode

Appointment Type

Appointment Date

Appointment Time

Who is the appointment with?

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data

I consent to the practice collecting and storing my data from this form.

Yes

If you need to cancel an appointment, and the appointment is MORE than 48 hours away, please complete the form below.

If your appointment is LESS than 48 hours away, please call the surgery on 01873 855991 to cancel your appointment so that it may be allocated to another patient.