+353 (0)1 833 9856 [email protected]

Patient Registration

Become a New Patient or Update Your Patient Details

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Patient Registration Details:

Existing Patients

Please ensure to notify us if you move or change any of your personal details (e.g. address, surname, phone number) so that your records can be updated. Click here to update your details.  Failure to do so could result in delays or prevent us from contacting you or a relative in an emergency.

Please understand for continuity of care, our patients must register with either Fairview Medical Centre OR Clontarf Family and so hospital reports will go back to the correct practice/doctor.  It will not be possible to go between surgeries for ongoing medical care. 

New Patient Registration – Practice Panel (On hold)

Due to demand on services, we cannot accept any new patients at the moment.
If you have previously completed a practice registration form (in 2022) but did not book a follow up appointment within 2 weeks, your application will have expired.

 

Disabled Patient Facilities

Disabled patient facilities are available at Fairview Medical Centre and Please let us know if you require any assistance.
(Car park space, toilet etc.)

Practice Registration Panel Now on Holdplease read above (with exceptions of MIE students) 

Step 1 of 3
Please select Patient application type from Dropdown list.*
Select todays date
Optional
We require your mobile number in order to sent you SMS (text messages in relation to appointments etc)
This email address will be used to send you a confirmation when this form is sent.
Your PPS number is required for the following services: Covid Vaccine, Covid Tel Consultations, Baby vac, Maternity care, Medical Card Data, Flu vaccines, Social Welfare Certs – without a PPS number standard fees may be applicable.
Enter your Health Insurance Number if you have Health Insurance.
Select your current insurance provider

Note: Be sure to give consent above in order to submit the form – When the form is submitted sucessfully you will be taken to a confirmation page.

Data Protection and Privacy Statements

For information about our service and how your information may be used, please refer to our Data Protection and Privacy Statements, which is available via our website.

Consent for SMS Personal/Dependants < 16yrs 

With your consent and provided your mobile number is correct we can now send you a free text message for the following purpose:

• Inform you & your dependants about results of your blood tests e.g. “results reported as normal or please contact the surgery to speak with your doctor” (please contact the surgery if you do not receive any texts within two weeks from your test date).
• Appointment reminders, Advise you about any changes to your appointment times.
• Remind you about vaccinations, and any other recalls necessary.
• Advice on administration queries for e.g. reminder about forms that are ready for collection
• Clinical results/data will never be exchanged via text message

To provide this service to you need to understand the above and agree to the practice communicating with you via text and to the following conditions:

• I agree to the practice communicating with me via short messaging service (SMS or text) for the above reason.

• I confirm that I will advise the Practice if I change my mobile number and understand that is my responsibility to do so.

• I confirm that I will notify the practice when my dependant reaches the age where they can operate independently

• I am aware that I can withdraw my consent at any time by informing the practice in writing and will need to give at least 5 working days’ notice

• Text messages are generated using a secure facility but I understand that they are transmitted over a public network onto a personal phone and as such may not be secure

This service is for healthcare notifications only not for correspondence. We will not receive any information returned by text.

I confirm that the mobile number entered in the from aboce is correct and is my number and agree to the above conditions.

Phone

01 8339856 

Location

37-39 Fairview Strand, Dublin 3, D03 F8C2 

Clinic Hours

Mon-Thurs: 8am – 5.30pm
Fri 8am – 5pm
Sat- 8am – 9.30am
(Emergency Walk-in Clinic)