Online Opt Out Form

Please complete the form to opt out or opt back in the patient hub.

I don’t want to access Patient Hub and want to opt out of this
service completely

Before you full opt out of the service, please could we remind you the benefits of Patient Hub:

• It’s an easy to use, secure online service that allows you to access all of your hospital appointment information in one place, by using your smart phone, tablet or computer.

• You can easily confirm, request to rebook or cancel your hospital appointments.

• All appointment letters can be accessed easily, so no more paper in the post.

• Gives you access to other information regarding your appointment such as maps, leaflets, clinical advice and specific instructions that could enhance your visits to the Hospital.

• Helps the hospital to become more environmentally friendly be reducing the amount of paper it to uses.

If you still wish to opt out of, or back into, having access to Patient Hub, please put a cross in the checkbox below


For us to make the change for you, we need to know the following details:

I would NOT like to receive ANY messages from Patient Hub for new
and updated appointment notifications and reminders.


I want to opt back into Patient Hub and receive this service

I would like to receive Text messages (SMS) for new and updated appointment notifications and reminders

I would like to receive email messages for new and updated appointment notifications and reminders


Human verification

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Leeds Teaching Hospitals NHS Trust