HSE Patient Registration

Monday - Friday: 9am - 5pm
Saturday: 10am - 2pm

31-32 Wellington Quay 1st Floor Dublin 2, Ireland

HSE Patients

For HSE patients (Medical Card /Doctor Visit Card holders) who are not yet registered with E&S Doctors, please fill in the form below to register.

Registration

Name

First Name

Last Name

Are you currently a medical card holder?

To apply for your medical card, you must complete the HSE application using the link provided below. You can apply to the HSE online or by post.

If you choose to apply by post, please note: You will be required to visit the clinic in person with your physical MC1 form so it can be processed and signed by the doctor.

Apply For Medical Card

To register E&S Doctors as your GP, please download and complete the GP Transfer Form. Once filled, upload the completed form below for your doctor to sign.

Download GP Transfer Form on HSE.ie

Upload Completed GP Transfer Form

Maximum file size: 5MB

Download and complete the GP Transfer form and upload it here. PDF format only.

Acceptance

I understand I must have already filled out my Doctor of Choice Form MC1 or have already applied online

GMS Number

In the format "NLNNNNNL" N=number L=letter

GMS Expiration Date

PPS Number

Date of Birth

Please make sure to click the day when entering your date of birth.

Phone

Address

Eircode

City

Country

Will your dependants (if you have any) attend this doctor?

Yes

GDPR Consent

I consent to having this website store my submitted information so they can respond to my inquiry.

Captcha

If you are human, leave this field blank.

HSE Patients

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