Name: | DOB: | MRN: | GP: | Legal Name:

Customer Service Request Form

Please complete the fields below to send us a message. If required, we will respond to your request via e-mail. Messages sent here and throughout MyChart are treated as non-urgent communication therefore please allow up to 5 working days for our staff to respond.

If you have not received a response regarding your login issue within the time period and are still not able to log in, please check your junk or spam e-mail folders and filters.

If you have any immediate health concerns please seek medical assistance - contact your GP, NHS Direct, or hospital clinic directly; or A&E if it is an emergency.

Enquiry Type


Enter your Addenbrooke's hospital number or NHS number as it appears in your letter.

Please enter a valid email address that we can use to contact you.