Cancel an Appointment

Please let us know as soon as possible if you are unable to make your appointment by completing the form below.

You can also cancel appointments via our text messaging service. If you would like to sign up, please inform reception stating your mobile number and they will add your details to the list. This service is not suitable for cancelling appointments within less than 24 hours.

Cancel an Appointment

Name(Required)
First Last
Date of Birth(Required)
Phone Number(Required)
Email Address(Required)
Time of Appointment(Required)

: Hours

Minutes

AM/PM
Date of Appointment(Required)
Name of the Doctor or Nurse: *(Required)
What happens to my information?
Personal and medical information about patients registered at Peverell Park Surgery is primarily kept electronically, although some is kept in paper form. Some information will be sent to hospital consultants and other health professionals to whom you are referred by your GP in order to provide continued healthcare and obtain treatment for you. We sometimes use accredited suppliers for our communication with you (please refer to our Privacy Policy), for example when we send recall letters for review clinics or medication reviews. All suppliers we use are checked carefully to ensure they comply with strict confidentiality protocols. To ensure the security of all patient information, all staff that has access to your records is covered by confidentiality clauses in their contracts and the Data Protection Act and the Freedom of Information Act. Our guiding principle is that we hold your records in strict confidence.
Consent(Required)
- I certify that the information I have provided is correct and consent to my personal and medical information being used as stated above.
Email
This field is for validation purposes and should be left unchanged.

24412

Peverell Park Surgery & University Medical Centre

Cancel an Appointment

Cancel an Appointment

What happens to my information?

Check out our CQC report

Peverell Park Surgery & University Medical Centre

Cancel an Appointment

Cancel an Appointment

What happens to my information?

Check out our CQC report

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