Cancel or rebook your radiology appointment

Use this form to cancel or rebook x-ray or imaging appointments. This includes appointments for ultrasound, CT, MR and nuclear medicine. You do not need to fill in this form to confirm you will be attending.

This form can only be used to cancel 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. If you would like to know more about how we process the information on this form, please visit our privacy page here.

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.

  • Before you fill out this form, please confirm you are a patient at either Southampton General Hospital, Princess Anne or Royal South Hants by checking the 'yes' box. Requests from patients at other hospitals will not be processed.
  • 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.
  • Appointment information
  • 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:
  • Would you like the opportunity to securely see your appointments online and the ability to update your details with us?