Cancel an Appointment - Waterfront Medical Centre

You can cancel your appointment without having to ring the practice.

Simply fill in the form below, and our reception team will cancel your appointment for you.

It is important to let us know as soon as possible if you are unable to make your appointment as this can then be offered to another patient.

Personal Details

Full Name

Date of Birth

Address

Contact Number

Further Information

Appointment Type

If other, please state appointment Type

Appointment Date

Appointment Time

Who is the appointment with? (if known)

Consent

This form collects your name, date of birth, other personal information and medical details. This is to confirm you are registered with the practice, to allow Waterfront Medical Centre to contact you, and to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy for more information on how we protect and manage your submitted data. I consent to Waterfront Medical Centre collecting and storing my data submitted via this form.