Useful Forms

Medical

Primacare Registration Form PR1

This Form can be used to Register yourself and your family with all of our Primacare Medical & Dental centres throughout the country, one form should be filled per person and sent to your nearest Primacare Medical & Dental Centre.

Medical Card and GP Visit Application Form

This form can be used to apply for a Medical Card or GP Visit Card

Health Expenses, Claim for Relief - Form Med1

This form can be used for claiming relief on medical expenses paid by you ( Please find this one attached to this mail )

Change of Doctor

This form is use when you have a medical card and you wish to change from one doctor to another.

European Health Insurance Card

This form is used if you have a medical card and you want to apply for a European health Insurance card.

Eyesight Report Form

This Form is used when you are applying for a driving license and require and eyesight report.

Maternity Benefit Forms MB 10

This form can be used for claiming maternity Benefit from the social welfare services

Dental

Primacare Registration Form PR1

This Form can be used to Register yourself and your family with all of our Primacare Medical & Dental centres throughout the country, one form should be filled per person and sent to your nearest Primacare Medical & Dental Centre.

Primacare Dental Registration PDR1 (Part 2)

This form is part two of the dental registration.

Dental Expenses Claim form - DE1

This form can be used for claiming relief on dental expenses paid by you ( Please find this one attached to this mail )