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Use this form to cancel or rebook your outpatient appointment. You do not need to fill in this form to confirm you will be attending.
This form can only be used to cancel outpatient and clinic appointments booked by Southampton General Hospital, the Princess Anne Hospital or the Royal South Hants Hospital. It cannot be used to cancel hospital admissions or appointments booked by other hospitals.
You will need the information on your appointment letter to use this form.
All personal data is held in accordance with data protection legislation. Information entered in this form will only be used to contact you about your clinic appointment, and not for any other purpose.
Please note: If you fail to attend your appointment or cancel your appointment for a second time you may be discharged back to your GP.