Home » Forms » Cancel or re-book an appointment Cancel or re-book an appointment Use this form to cancel or re-book your outpatient appointment. You do not need to fill in this form to confirm you will be attending.This form can only be used to cancel outpatient and clinic appointments booked by Barnsley Hospital. It cannot be used to cancel hospital admissions or appointments booked by other hospitals.You will need the information on your appointment letter to use this form.All personal data is held in accordance with data protection legislation. Information entered in this form will only be used to contact you about your clinic appointment, and not for any other purpose.Please note: If you fail to attend your appointment, or cancel your appointment for a second time, you may be discharged back to your GP. About youYour name First name Surname Hospital number (optional)NHS number (optional)More information about your NHS number at NHS ChoicesDate of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Main telephone numberWe will use your telephone number to get in touch with you to confirm your identity.Additional telephone number (optional)Email Enter Email Confirm Email We will send you confirmation by email that we have received this form.If you have any specific information or communication need, including whether you require an interpreter for your outpatient appointment, please let us know using the Any other information box below.Your appointmentAppointment detailsPlease let us know which department your are coming to, and the date of your appointment. If you need to change multiple appointments, please click the + symbol to add a new row.SpecialityDate What would you like to do?You do not need to use this form if you are going to attend your appointment.Cancel my appointment completelySend me a new appointmentAny other information (optional)Please provide us with any information that may be relevant so that we can aim to book you an appointment at a time convenient to you. Please also let us know of any dates and times to avoid booking your appointment. We will aim to book your appointment at a time convenient to you but this may not always be possible due to availability.Comments (optional)This field is for validation purposes and should be left unchanged.