+353 (0)1 8331650 [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 8331650

Location

14 Kincora Avenue, Clontarf, Dublin 3, D03 T2W2

Clinic Hours

Mon-Friday 9am - 5.00pm