Medical Card Patients

De lunes a viernes: de 9.00 a 17.00 horas
Sábado 10.00 h - 14.00 h

31-32 Wellington Quay 1st Floor Dublín 2, Irlanda

Medical Card Patients

For medical card patients who are not yet registered with E&S Doctors, please fill in the form below to register.
(Appointment booking for Medical Card patients is coming soon.)

Registration

Name

Nombre

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

Tamaño máximo del archivo: 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

Fecha de nacimiento

Asegúrate de hacer clic en el día cuando introduzcas tu fecha de nacimiento.

Correo Electrónico

Teléfono

Dirección

Eircode

Ciudad

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

Si eres humano, deja este campo en blanco.