Text Message Reminder Opt-Out

Please complete the fields on the form below and we will remove your contact numbers from our reminder service. This will not affect your appointment or admission; it just means you won’t receive any text messages or voice messages to remind you. For your peace of mind, your details are encrypted and sent securely to us. It is important to complete all mandatory fields to allow us to identify you.

If you have any problems, then please call our appointment centre: 0300 555 4567.

We understand that some of our patients may have difficulty in contacting us by telephone. If this is the case, you can contact us:

By Direct E-mail: appointments@wwl.nhs.uk

By Post:
Appointment Centre
Leigh Infirmary
The Avenue
Leigh
Lancashire
WN7 1HS

For your information, the successful submission of your request will be confirmed with the appearance of a thank you message.

* Your Full Name

* NHS Number or Hospital Number

* Date of Birth

* Address

* Postcode

* Mobile Number

* Telephone Number

* My Consent (please tick)
I consent to the Trust using the details supplied on this form to opt out of the patient reminder service

Please enter the characters you see above.

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