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Cancel An Appointment

Please complete the form below, making sure you provide us with as much detail as possible.

If you have already paid for an appointment which you wish to cancel, we can either allocate it to your new appointment or arrange a refund back to your card. Please note cancellation fees may apply.

Patient Details

First Name *

Last Name *

Patient date of birth *

Email *

Telephone Number *

Preferred Contact *

Appointment Details

Patient ID *

Consultant Name (if known)

Appointment Date *

Appointment Time *

Reason for cancelation *

Any additional information

I confirm I am the patient or have permission from the patient to cancel this appointment

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Help & Support

Kingsbridge Help & Support

For enquires on post operative support, cancellations, test results and payment

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