Dunsville Medical Centre


Cancel a booked Appointment

If you are not registered for the Online System, please use the form below to cancel a booked appointment or call the surgery direct.

Appointment Cancellation

Thank You for letting us know you can't attend an appointment. If you need to cancel an appointment within the next 2 hours please call the surgery direct 01302 890108. If you wish to cancel a later appointment you can complete this form, with the option to request a call-back to rebook.

  • Please enter Patients Full Name
  • DD slash MM slash YYYY
    Please enter Patients Date of Birth
  • Please provide Patients Postcode
  • DD slash MM slash YYYY
    Please provide the Date of the Appointment you wish to cancel
  • :
    Please provide the time of the Appointment you wish to cancel
    Please confirm you are the patient, or if patients representative please provide your name below
  • If you are authorised by the patient to take this action, please confirm your name. Please note if your authority is not recorded on the patients record we may contact you or the patient.
  • Please provide a phone number in case we need to call you back.
  • Please indicate if you would like a call back to rebook the appointment at a later date.

Date published: 14th November, 2019
Date last updated: 14th November, 2019