Belmont Hill Surgery - Online Services
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Patient Details
Appointment Details
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Instructions

 

What does this form do?

Please use this form to tell the surgery that you are unable to attend an appointment. This enables us to offer your appointment to someone else and helps to reduce waiting times.

To use this facility, your appointment must be at least one working day in advance of the current time. For example, if it is currently 11am on Tuesday you cannot cancel an appointment earlier than 11am on Wednesday.

 

Who is the Clinician?

This is the name of the Doctor or Nurse whom your appointment is with. If you are unsure the name of your clinician, please leave this field blank.

 

Are my details secure?

The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible.

We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. When you submit your information, it is safely transmitted over the web in an encrypted form and deciphered using the private key at its intended location.

 

Other Notes:

All fields marked with * are mandatory.

 
 
 
 
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