Cancel An Appointment
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First Name*
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Last Name*
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Date of Birth*
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Your Email*
Information necessary to correctly identify the appointment
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Warwick
Balcatta
Inglewood
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Aubin Grove
Clinic Location*
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Result Discussion
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Appointment Type*
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Appointment Date* (approx if not sure)
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Additional Comments
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I consent to the cancellation process.
If cancelling a "critical" appointment, I understand I may receive further correspondence with respect to any outstanding health concerns.
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