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.

    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.

  • About you
  • Your hospital number is a seven digit number. It can be found below your name and address in the top left hand corner of your appointment letter.
  • Please enter a date in the format dd/mm/yyyy
  • 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.
  • Clinic information
  • The clinic code can be made up of letters and numbers. It can be found in the bottom right hand corner of your appointment letter, wrapped in brackets.
  • The telephone number for your clinic can be found in the section of your appointment letter that tells you how to cancel your appointment, before the parking instructions. Match the last four digits of the clinic telephone number on your letter with a number from the drop-down list.
  • Please select a date using the calendar or type one in the format dd/mm/yyyy
  • What would you like to do?
    You do not need to contact us if you will be attending your appointment.
  • Please choose from one of the following option:
  • We'll send you a copy of this form as confirmation of your request.
  • Would you like the opportunity to securely see your appointments online and the ability to update your details with us?