+353 (0)1 8331650 [email protected]

Patient Registration

Become a New Patient or Update Your Patient Details

Home » New Patient Registration Clontarf

 

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 Clontarf Family Practice or Fairview Medical Centre, 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

  • We review our Practice Patient Numbers monthly and we are currently accepting new patients who are living in the locality.
  • To register, you will need to complete our online registration form, however, it is important to read the following information first.
  • Under the GDPR (General Data Protection Regulation), we also require you to complete a consent form allowing us to process your health data. See link to the GDPR information under the form further down this page. 
  • Following receipt of your registration form we will input your data for the doctor.   Please allow 48 hours before contacting the surgery to book your 1st doctors appointment as part of the application process.    Following this, if the doctor feels we can offer the service you require, we will accept you as a patient.
  • Under 6’s DVC (Doctor Visit Cards): Parents need to be registered with the practice to be accepted on our panels.
  • A change of doctor form will need to be signed after approval for GMS/DVC patients to transfer your number to this practice to be covered for future services.
  • We will notify all patients of application outcome.
  • When booking your first appointment as a new patient please let us know this is your this is for a New Patient Consultation so we can assign the appropriate appointment.
  • For Non GMS patients there will be a standard fee of €60.00 payable at time of appointment booking, we require 48 hours’ notice to cancel the appointment so it can be offered to another patient.
  • GMS/DVC card holders: If you have a valid medical card this visit will be covered.   To confirm the card number is valid please click here.
  • All GMS/DVC patients for Clontarf Family Practice will be registered on Dr. Claire Noonan’s GMS panel.  However, as all the doctors work together you maybe offered an appointment with any of our practice doctor.  For an ongoing issue it maybe best to re-book with the same doctor for continuity of care.

Please note: When applying for a Medical Card you will need to provide certain documents to support your application. For information about the requirements please see the form below.

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.)

International Patients

 

Patients from Ukraine

If you arrive in Ireland from Ukraine, you can get support from the Irish State. This includes a place to stay, financial support (social welfare), the right to work, and healthcare services.
The HSE (Health Service Executive) is Ireland’s public healthcare service.
You will be able to get the same healthcare services as people who live in Ireland.
You will also be able to apply to the HSE for a medical card. You need this card to get some healthcare services free of charge in Ireland.

Further Details:  https://www2.hse.ie/services/healthcare-in-ireland/ukrainian-refugees.html

 

Patients from the EU

Visitors from EU countries are entitled to emergency care without charge provided they have a European Health Insurance card (EHIC) from their own country, valid at the time of their visit.  Please present your European Health Card at reception before each consultation. This card may only be used for a maximum of 3 months.

Patients from the UK

Visitors from EU countries are no longer entitled to free medical care.

Patients from the rest of the world

In many situations your health insurance may reimburse some of the costs involved in your visit to Fairview Medical Centre. A receipt will be provided by our staff at the time of payment, which can then be presented to your insurance company.

If you have difficulties speaking English a translator will be very useful during your consultation with the doctor or nurse.  Please arrange to bring a friend who speaks good English with you to the surgery.

Further information

Mandatory fields are marked with * (Note: Notice of application approval will be issued to you via SMS)  

Step 1 of 3
“Please select Patient application type from Dropdown list.
Select todays date
Enter your Date of Birth DD/MM/YYYY
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 8331650

Clinic Hours

Mon-Friday 8:30am - 5.00pm

Location

14 Kincora Avenue, Clontarf, Dublin 3, D03 T2W2