About This Form
            
            
                If you are unable to attend an appointment at the surgery please use this form to
            let us know so that we can assign your time slot to someone else. We ask that you
            only use this form to cancel appointments more than 24 hours in advance.
            
            Please Note
            
                By using this form, you will be sending information about yourself across the Internet.
            Whilst every effort is made to keep this information secure, you should be aware
            that we cannot offer any guarantees of absolute privacy. If this matter concerns
            you then you should use another method to notify us of your cancellation.
            
            Personal Information
            
                Personal information retained on this system is stored in a secure data centre located
            in the UK and is treated as confidential.