Useful Information & Forms
Patient Information
Asthma Key information:
Diabetes Key information - Current update courtesy of Helix Health.
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 )
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.
This Form is used when you are applying for a driving license and require and eyesight report.
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 )