Request / change appointment form

Please note we are currently unable to book appointments more than six weeks in advance.

This appointment request form is only for:

  • women who have received an invitation to attend for screening under the NHS Breast Screening Programme and wish to arrange or rearrange an appointment
  • 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 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 a small number of Thursday evening and Saturday morning sessions available, please contact the appointments team on 01925 275500 for details.

Once you have submitted the form we aim to respond to your enquiry within two working days.

 

Your details
For example, 15 3 1984