Request new appointment form
PLEASE NOTE WE ARE CURRENTLY UNABLE TO BOOK APPOINTMENTS MORE THAN 6 WEEKS IN ADVANCE
This appointment request form is ONLY for:
a) Women who have received a NHS Breast Screening Programme appointment and need to change the time, date or location.
b) Women who have missed an NHS Breast Screening appointment and would like to request a new appointment.
c) Women aged 73 or over who would like to request an appointment.
IMPORTANT: Women under the age of 47 will not be sent a appointment if they submit this request form. If you are concerned about any breast symptoms please make an appointment to see your GP as soon as possible and your GP will refer you to the appropriate clinic if necessary.
Please note that whilst we try to offer a wide range of dates and times we do not screen on every day at each location. We will try to book you an appointment as near as possible to the dates and times requeste