Change/Cancel Appointment Form
Please complete all fields marked with an astrix (*)
Patient's NHS or Bedford Hospital unit number:
Date of birth*
Consultant's name (if known):
Date of appointment:
Time of appointment:
Home telephone number:*
Mobile phone number:
Bedford Hospital provides a text message service which reminds you about your appointments. If you do NOT wish to receive appointment reminder texts please untick this box.
What would you like to do?
Please automatically send me another appointment.
Please contact me to discuss a new appointment.
I would like to check the date, time or location of my appointment
Below you can include any supporting information regarding your appointment and you can also use this to change, correct or update any of your details.
Please note that only your details held by the hospital will be changed and not those held by your GP surgery. Your changed details will be noted in your medical notes and confirmed at your next appointment.
Please do not use this space for any request other than those relating to your appointment arrangements. For any other queries visit the contact us page.
Terms and conditions
We will always treat the information you send us with the strictest confidence.
This form sends your information via an unencrypted email to a Bedford Hospital email address. If you are concerned about the security of your information and would prefer to speak to a member of staff please telephone the hospital switchboard on 01234 355 122 to change, cancel or rearrange your appointment.
By providing your email address or mobile phone number you are giving consent to Bedford Hospital responding to your query using these means of communication (your preferred method will be used first). This will be limited to details of date and time of any appointments. We will not contact you by email or mobile phone regarding any other issues relating to your condition or type of appointment.
If you have rescheduled or cancelled an appointment, a letter will be sent to you to confirm new arrangements. If you have not heard from us within seven working days please contact the hospital using the using the details on the contact us page.
Online appointments enquiries are processed Monday to Friday between 9am and 5pm, if your enquiry is urgent and outside these hours please telephone the hospital switchboard on 01234 355 122.
By ticking this box I confirm that I have read and accept all the terms and conditions set out above *