Cancel appointment - Clark Avenue Surgery

Please let us know as soon as possible if you are unable to attend your appointment.

Cancelling an appointment you no longer need helps us offer it to another patient.

If your appointment is within the next hour, please call the surgery instead of using this form.

This gives us the best chance of offering the appointment to another patient.

If your appointment is more than 1 hour away, please complete the form below.

Thank you for letting us know.

You may also be able to use the NHS Wales App to book or cancel appointments, request repeat prescriptions, update personal details and view parts of your medical record without visiting the practice.

Open NHS Wales App

About you

Full Name

Date of Birth

Phone Number

Email Address

Postcode

Appointment details

Appointment Type

Appointment Date

Appointment Time

Who is the appointment with?

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data

I consent to the practice collecting and storing my data from this form.

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Appointment System Myth Buster

About you

Appointment details