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North London Breast Screening Programme
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Change Appointment Form

Please complete the form below and press Submit.
Please note screening is strictly by appointment only and appointments are booked a maximum of six weeks in advance.

   
Your Preferences
             
Preferred screening site(s) *
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.


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Your Details

Please enter your screening reference number, this number is on the top left hand side of your invitation letter and usually starts with 'EBA'.

Please enter your telephone number. Please note that we will not disclose this telephone number and any other personal details to third parties.

 
 
 
Additional Information
If you would like to receive an email confirmation please enter your email address here