If you are unable to attend your allocated breast screening appointment detailed in your letter, or if you wish to cancel the appointment, please fill in the form below using the details from your letter and we'll contact you in writing with a new appointment date.

Or you can contact our office on 01524 518699 to confirm your request.

Cancel / Rearrange appointment form

You can use the form below to cancel or request a new appointment date.  Whilst we can't guarantee to offer the exact date, it will help us to plan an alternative date for you.

You will need some details from the letter which we have sent you to complete this form, such as your PLN number.  A PLN number contains 6 digits, an example of a PLN is highlighted on the example letter shown above.

Please enter a phone number, either a mobile number or your telephone number including your area code (11 digit).
 
If you do not receive an updated letter from us within 14 days, please call 01524 583050.

Do you wish to CANCEL or REARRANGE your appointment? *	CANCEL  REARRANGE
If you wish to REARRANGE or CANCEL your appointment, please provide alternative dates or details: *
PLN: (You can find this number on your appointment letter as per above example) *
Date of Birth (DD/MM/YY): *
Re-enter PLN: *
Re-enter Date of Birth (DD/MM/YY): *
Telephone No.: *
Re-enter Telephone No: *
Please type the letters and numbers shown in the image.
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Updated May 2018