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Forms

We have provided a number of relevant forms in PDF format for you to download and fill out. Where possible, we have also provided links to online application forms. 

These forms are provided as found on the various organisations websites. However, should you have any queries, we have provided links to the originating websites (where possible) to assist in filling out these forms.

You will need a copy of the Adobe Acrobat Reader (Free Download) in order to View/Print these documents.
 

Reclaiming Medical Expenses: Med 1 Form
Online Application

Medical Card
www.medicalcard.ie
Note: This is an online application which is much faster than the paper based one. A medical card can be issued within 15 days using the online application rather than the 8-12 weeks by making a paper application.


European Health Insurance

Download Form (PDF, 25kb) | Online Application
Notes/Source: www.ehic.ie

Change of Doctor
Download Form (PDF, 48kb)

Driver Licensing Medical Report
Download Form (PDF, 36kb)

Drugs Payment Scheme
Download Form (PDF, 468kb)

Medical Card
Download Form (PDF, 116kb)

Medical Card (Over 70's)
Download Form (PDF, 24kb)

Maternity Benefit
Download Form (PDF, 132kb)

 

    

 

Whitworth Medical Centre | t: 01 830 3055 | f: 01 882 8454 | Cabra Medical Centre | t: 01 830 0116 | f: 01 869 0034 | Design by VA |