Cancel your Appointment - The Long House Surgery

Please complete the online form below if you need to cancel an appointment.
If you are unable to keep an appointment please let us know in good time so that we may offer it to somebody else.

Please do not use this form to cancel an appointment that has been booked for today.

Please contact us on 0131 552 4919.

Cancel an Appointment

Name *

Surname *

Date of Birth *

Address *

Address

Zip/Postal

City

Country

Current Email Address *

Main Phone Number *

Date of the Appointment *

Time of Appointment *

Who is the appointment with? *

Reason for cancelling / Additional Comments *