Cancel or rebook your clinic appointment

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.

Please note: 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.

About you

Your contact details

We will use the contact details you provide to get in touch with you to confirm your identity. By providing this information you agree that we can do this. We need either an email address or a phone number in case we need to contact you.

Clinic information

 

What would you like to do?

Please note that you do not need to contact us if you will be attending your appointment.