Leaflets

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Appointment Form

If you have been given an outpatient appointment at the hospitals and are unable to attend for whatever reason you can use the form below.

It is really important that you let us know of any changes as soon as possible. This means we can offer the original appointment to another patient.

Please complete the form below with your contact details and as much information as possible. You can find most of the information we need on your appointment letter.

If you have any problems using this form, please call the number on your appointment letter and we will do our best to help you. You will receive a response from us so you know it has been received and actioned.

If you wish to change the date and time of your appointment you, you can click the re-book option and state any dates that are not suitable for you, or you can contact us using the number on your appointment letter.

The ICON Leaflet is available to download and print for use in your setting. The leaflet can be translated on request by Warrington and Halton Hospitals NHS Foundation Trust. It can also be provided in large print, braille or audio.

Chesire East ICON leaflet

Cheshire West ICON leaflet

Halton ICON leaflet

Warrington ICON leaflet


The Coping with Crying Plan template can be given to parents and carers to enable them to plan their comfort methods, who they can call for help and how they can relax when feeling stressed. This has been made to be editable on computers, tablets and mobiles. It could also be printed to provide parents and carers with a hard copy.

ICON Coping with Crying Plan


The ‘Abusive Head Trauma Grab Guide’ has been approved by NHS England at a national level. The Grab Guide endorses the work of ICON, which is led nationally by the Hampshire Safeguarding Children Partnership. It will be distributed amongst health services and will help to support the continued national spread of the ICON Programme.