Lyme Bay Cancel an Appointment

It is essential that you inform the reception staff if you are unable to attend your appointment. Doing so allows the appointment to be offered to another patient.

Please only use this form if an appointment has been set for more than 24 hours in advance (excluding weekends and public holidays), otherwise telephone the Practice on 01297 445777 or 01297 443399.

Last Updated: 12/08/2022

Details of the Patient for whom the Appointment has been booked

Name *

Date of Birth *

Phone Number

Email Address *

Postcode *

Details of the Appointment you wish to cancel

Appointment Type *

Name of Doctor or Nurse

Appointment Date *

Appointment Time *

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.

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Lyme Bay Cancel an Appointment

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