+353 (0)1 833 9856 [email protected]

Useful Forms

We have included a list of useful forms below.

Usefull Forms

We have included a list of useful forms that you can download via the various links provided. 

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Driving license medical report form

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Driving licence eyesight report form

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Medical Card Application information

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Medical card application form

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over 70s GP visit card application information:

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over 70s GP visit application form

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under 6s GP visit card application information

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under 6s GP visit card application form:

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Carers Allowance application form:

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Child Benefit application form:

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Disability Allowance application form:

Maternity Benefit application:

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Repeat Prescription request form

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)