The Leeds Teaching Hospitals NHS Trust

Online Cancellation Form

Please complete the form below to notify us of your cancellation request, please note that all fields are mandatory and have to be completed to submit this form.

Your details

Please enter date of birth in format DD/MM/YYYY

Your existing appointment

Please enter the appointment date in format DD/MM/YYYY

Re-booking your appointment

Would you like to re-book another appointment?

Our reminder service

We shall soon be launching a reminder service by text to your mobile or voice mail to your land line.

Please state whether you would like a text reminder service?