Text Message Remnder 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

 

Your Full Name*

NHS Number or Hospital Number*

Date of birth* Please use dd/mm/yyyy format

Address*

Postcode*

Mobile No.*

Telephone No.*

My Consent*

Royal Albert Edward Infirmary
Royal Albert
Edward Infirmary
Wrightington Hospital
Wrightington
Hospital
Leigh Infirmary
Leigh
Infirmary
Thomas Linacre Centre
Thomas Linacre
Centre
Community Care Locations
Community
Services
Patient Advice & Liaison Service
Patient Advice
& Liaison Service

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