250 Swords Road, Santry, Dublin 9
Telephone/ Fax: 01 8428970
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Useful Downloadable Forms
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Useful Downloadable Forms
Useful Downloadable Forms
Are you eligible for a medical card ?
(Income_guidelines_for_medical_card.doc | 31 KB)
Assess your hearing
(hearing_self_assessment.pdf | 89 KB)
Change of Doctor Form
(Application_to_change_Doctor.pdf | 295 KB)
Claim for Medical Expenses
(med1.pdf | 73 KB)
Driving licence application form
(driving_licence.pdf | 30 KB)
E111 Application Form
(E111_Form.pdf | 158 KB)
Eyesight Form for Driving
(Eyesight_Form_for_Driving.pdf | 13 KB)
Medical Card Application Form
(medical_card_application_form.pdf | 115 KB)
Principal
Dr. Dermot J Halpin
KM,MBBChBAO(Hons),
FRCGP, FFOM, FRAMI,
MICGP, MAAFP (USA),
MACOEM (USA),
CMIOSH RSP (UK),
MIITD,MFPHC(Edin),
DCH,D Obst. RCPI,
H DIP OCC. HEALTH.
IMC Number: 05077
Useful Links
HSE
Eastern Regional Health Authority
Department of Health
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