Request/change appointment form
Request/change 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 an invitation to attend for screening under the NHS Breast Screening Programme and wish to arrange or rearrange an appointment.
b) Women who have missed an NHS Breast Screening appointment and would like to request a new appointment.
IMPORTANT: Women under the age of 50 will not be sent an 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 requested.
There are potentially a small number of Thursday evening and Saturday morning screening sessions across all static sites, details of which will be published on the Breast Screening Website. However, for further information regarding these clinics please contact the booking team on 01925 275500.
The publications below are available to download in PDF format. To read them you will need Adobe Reader. If you do not have Adobe Reader already installed on your PC, you can download a free copy here.
You can watch a video about women with learning disabilities who are going to have breast screening. The video was produced by Avon Breast Screening. It is about 11 minutes long.
Do The Test - GO FOR IT! from NHS Screening on Vimeo.
A simple guide to you and your breasts, including a 5 point code to breast awareness.
Please click on the title below to download the leaflet as a PDF document.
| Publications |
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This leaflet is a good source of information about breast screening and is sent with all initial breast screening appointments.
Please click on the title below to download the leaflet as a PDF document.
| Publication |
|---|
| English |
| Chinese (simplified) |
| Chinese (traditional) |
| Latvian |
| Lithuanian |
| Romanian |
| Russian |
| Urdu |
All women in the screening age group are invited for screening, including those with breast implants who may have specific requirements and concerns.
This leaflet is designed to give women information about how breast implants affect mammography.
Please click on the image to download the breast implants leaflet as a PDF document.
A picture leaflet for women with a learning disability about breast screening and where to get more information.
Please click on the title below to download the leaflet as a PDF document.
| Publication |
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| Easy Read Guide |
This leaflet tells women over 70 that they are entitled to request breast screening every three years. It explains the risks of breast cancer and encourages older women to be breast aware.
Please click on the title below to download the leaflet as a PDF document.
| Publication |
|---|
| Over 73 in English |
| Over 73 in Arabic |
| Over 73 in Bengali |
| Over 73 in Chinese |
| Over 73 in Polish |
| Over 73 in Punjabi |
| Over 73 in Urdu |