New Patient Registration

Please bring your medical card. You will be asked to complete a patient information form and have a consultation with a Doctor. The surgery accepts patients who live within a 5 mile radius of the practice.

You may in some cases be required to provide additional documents to confirm identity and entitlement to free Medical Care .

Patients are registered with the practice and not with an individual Doctor.

Medical Card Application

In order to obtain a medical card you need to fill in an application form, which is called HS22X. This form is available in English and in a range of other languages. Please click on the respective links below to download the form in English and/or in translation.

Click here for an application form for a medical card

Cliceáil anseo i gcomhair foirme iarratais

Click here for an application form for a medical card

Click here for an application form for a medical card

Click here for an application form for a medical card

Content courtesy of the Business Services Organisation, N.Ireland