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Monday-Friday: 9AM – 5PM

(090) 663 44 04
Out of Hours – 1850 365 000

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Forms/LinksPalm3R0Ni2022-01-17T13:48:03+00:00

USEFUL INFORMATION/FORMS/LINKS

General Forms

  • New Patient Registration Form
  • Medical Card / GP Visit Card Application Form (MC1)

  • Medical Card Application Form for over 70s (MC1A)

  • Change of Doctor Form

Social Welfare Services Forms

  • Disability Allowance Application Form (DA1)
  • Carers Allowance Form

  • Invalidity Pension Application Form (INV1)

Driving Related Forms

  • Medical Report for Driver’s License (D501)

  • Driving Licence Eyesight Report Form (D502)

  • Disabled Persons Parking Permit Application Form

Other Forms

  • European Health Insurance Card Application Form

  • Long Term Illness Scheme Application Form

  • Drugs Payment Scheme Application Form

Useful Links

  • Cervical Check
  • Breast Check

  • Health Service Executive

  • Health Service Executive Under 6 Contract

  • Road Safety Authority

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