Molly Specialist Cancel / Reschedule Appointment

Reschedule/cancel an appointment

If you need to cancel or change your out-patient appointment, please fill and submit the form below:

Name Telephone Email Patient Hospital Number Patient Policy Number Date of Appointment SPECIALIST TO SEE Hospital Centre
American Quarters Idi-Ape

What do you want us to do for you?

Cancel Appointment Reschedule Appointment

(Please select ‘Cancel Appointment’ if you do not want to come for the appointment anymore or ‘Reschedule Appointment’ if you want to have your appointment rescheduled for a future date).

Send copy to email you entered above?