City Line Family Medicine

301 City Avenue ■ Suite 100 ■ Bala Cynwyd, PA 19004
Phone 610-617-1300 ■ Fax 610-617-0199 ■ Text/Voicemail* 484-429-9141

Cancel Appointment

  • Please refer to the 'Terms of Use' web page for complete details regarding use of this service.  Use of this web service indicates the user's agreement to be bound by the terms of use and knowledge of disclaimers listed.

  • The online appointment canceling option is to be used well in advance of a scheduled appointment. 

  • Canceling within 1 hour of your scheduled appointment will be considered a no show.

  • To cancel same day appointments please attempt to cancel by phone, 610-617-1300, before using website.

To cancel your appointment online please enter the following information below.

 


Patient's Full Name: 
Date of Birth - mm/dd/yy:
Home Phone:
Business or Cell Phone #:
Appointment Date:
Appointment Time:   Call 610-617-1300 to cancel same day appointments.
Physician:

 

Please press the submit button only once. It may take a few moments for submission. 

*depending upon your calling/texting plan, additional charges may apply.