• Patient Resources

Forms

Please find below links to forms that may be of use. These forms are subject to change and we cannot guarantee that we have the most up to date version available. Please double check you have the correct form before submitting anything.

Medical Card Application:

https://www2.hse.ie/file-library/medical-cards/medical-card-application-form-english.pdf

Long Term Illness Scheme:

https://www2.hse.ie/file-library/long-term-illness/long-term-illness-scheme-application-form.pdf

Maternity Benefit:

https://services.mywelfare.ie/en/topics/parents-children-family/maternity-benefit/

Disability Allowance:

https://www.gov.ie/en/form/2d33f0-disability-allowance-da1/

Drivers Licence Medical:

https://www.ndls.ie/images/Documents/Forms/171315_NDLS_Medical_Form_JAN_2022_WEB_HR.pdf

Drug Payment Scheme:

https://www2.hse.ie/services/drugs-payment-scheme/apply-for-a-drugs-payment-scheme-card.html

Social Welfare Illness Benefit:

https://services.mywelfare.ie/en/topics/health-disability-illness/illness-benefit/

GP under 6 card:

https://www.sspcrs.ie/portal/free-gp-care-web/pub

Useful Links

Please note that this is not a finite list of services and supports available to our patients. If you do not see the information you are looking for or feel you cannot access the support you need please call the surgery on 0214633476.

General

Citizen’s Advice:

https://www.citizensinformation.ie/en/

Social Welfare:

https://www.gov.ie/en/category/social-welfare/

Cancer Support:

https://www.cancer.ie/

Samaritans:

https://www.samaritans.org/ireland/samaritans-ireland/

Pieta House:

https://www.pieta.ie/

Drugs & Alcohol Helpline:

https://bit.ly/3vDAp3W

 

Women’s Health

Cervical Check Register:

https://bit.ly/3vEqLxU

Breast Check Register:

https://bit.ly/3cOdevi

Unplanned pregnancy support:

https://bit.ly/3s30PKa

Women’s Aid:

https://www.womensaid.ie/services/helpline.html

Miscarriage Support:

https://bit.ly/3cGPrxe

Menopause Information:

https://www.hse.ie/eng/health/az/m/menopause/

Infertility Information:

https://bit.ly/3lCbCJ6

Men’s Health

Prostate Cancer Support:

https://www.cancer.ie/cancer-information-and-support/cancer-types/prostate-cancer

Testicular Cancer Support:

https://www.cancer.ie/cancer-information-and-support/cancer-types/testicular-cancer

Gay & Bisexual Men’s Support:

https://man2man.ie/

Infertility in men:

https://www2.hse.ie/conditions/child-health/fertility-problems-and-treatments/infertility-in-men.html

Erectile Dysfunction:

https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/

Children’s Health

Immunisation Schedule Information:

https://www.hse.ie/eng/health/immunisation/pubinfo/pcischedule/immschedule/

School Immunisation Programme Information:

https://www.hse.ie/eng/health/immunisation/pubinfo/schoolprog/

Childline:

https://www.childline.ie/

Be Safe Online:

https://www.gov.ie/en/campaigns/be-safe-online/

Tusla:

https://www.tusla.ie/

Jigsaw:

https://jigsaw.ie/

Children’s Growth & Development:

https://www.who.int/nutrition/topics/childgrowth/en/

Sexual Health:

Sexual Wellbeing:

https://www.sexualwellbeing.ie/sexual-health/

Image based Sexual Abuse:

https://www.womensaid.ie/help/digitalabuse/imagebasedsexualabuse.html

HIV Ireland:

https://www.hivireland.ie/

Sexual Assault Treatment Information:

https://www2.hse.ie/sexual-assault-treatment-units/

GUM Clinic:

https://www.mysexualhealth.ie/gum-sti-clinic

Youth Health Service:

https://spunout.ie/help/service/youth-health-service-yhs-cork