Change my Appointment

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Breast screening appointments

This form is designed to allow you to change your existing appointment to be more convenient or you or you can use it to request an appointment. If you would like to find out about when you are likely to be invited please call 0161 291 4444 or check with the GP practices in your area.

Change Your Existing Appointment
If you have received an appointment from our office but it is not convenient you can use this page to request an alternative location, date or time.

Request an Appointment
If you are over 70 and have not been screened for over 3 years you are also welcome to complete this form to request an appointment.

Translation Help Available
If you need the help of a translator please contact us on 0161 291444.

Please fill in the form below and click the submit button at the bottom of the page. We will send you a confirmation letter with your new appointment details.

Your Preferences

Reason for changing your appointment *

Preferred screening site(s) *
Please select at least one site
Arcadia Library Levenshulme
Ashton Primary Care Centre
Nightingale Centre Wythenshawe Hospital
Oldham Integrated Care Centre - Permanent site
Pendleton Gateway
Trafford General Hospital
Withington Community Hospital - Permanent site

Please select at least one site

At this stage we cannot guarantee a specific appointment but if you select your preferred date(s), day(s) and time, we will do our best to book a convenient appointment.

Preferred dates: 1^st choice 2^nd

Preferred day(s)
MondayTuesdayWednesdayThursdayFriday

Preferred time
MorningAfternoon

Are you available at short notice?
YesNo

Your Details
Full name *

Please enter your screening reference number, this number is in the top right hand side of your invitation letter.
Client number *

Telephone number

Date of birth *

Additional Information
Additional information or special requirements

If you would like to receive an email confirmation please enter your email address here
Email Address