+353 (0)1 8331650 [email protected]

Patient Registration

We are now accepting New GMS/Doctor Visit Cards and Private patients to the practice.  Please Apply below.

Registered Existing patients can update new contact details on the form below if required. 

 

 

Home » New Patient Registration Clontarf

 

 

Patient Registration Details:

We are accepting a limited number of new GMS/DVC and non medical card patients to the practice, we review our panels monthly for free spaces.

Existing Patients

Please ensure to notify us if you move or change any of your personal details (e.g. address, surname, phone number) so that your records can be updated.   Failure to do so could result in delays or prevent us from contacting you or a relative in an emergency.

Single Practice Registration Only 

Please understand for continuity of care, patients must register with either Clontarf Family Practice or Fairview Medical Centre, and in doing so hospital reports will go back to the correct practice/doctor.  It will not be possible to go between surgeries for ongoing medical care.

Expansion of Doctor Visit Cards:

The government recently announced:

The expansion of free GP care to all children under the age of 8 years and households earning below the median income threshold.

Disabled Patient Facilities

Disabled patient facilities are available at Fairview Medical Centre and Please let us know if you require any assistance.
(Car park space, toilet etc.)

Patients from Ukraine

If you arrive in Ireland from Ukraine, you can get support from the Irish State. This includes a place to stay, financial support (social welfare), the right to work, and healthcare services.
The HSE (Health Service Executive) is Ireland’s public healthcare service.
You will be able to get the same healthcare services as people who live in Ireland.
You will also be able to apply to the HSE for a medical card. You need this card to get some healthcare services free of charge in Ireland.

Further Details:  https://www2.hse.ie/services/healthcare-in-ireland/ukrainian-refugees.html

 

Patients from the EU

Visitors from EU countries are entitled to emergency care without charge provided they have a European Health Insurance card (EHIC) from their own country, valid at the time of their visit.  Please present your European Health Card at reception before each consultation. This card may only be used for a maximum of 3 months.

Patients from the rest of the world

In many situations your health insurance may reimburse some of the costs involved in your visit to Fairview Medical Centre. A receipt will be provided by our staff at the time of payment, which can then be presented to your insurance company.

If you have difficulties speaking English a translator will be very useful during your consultation with the doctor or nurse.  Please arrange to bring a friend who speaks good English with you to the surgery.

Further information

Patient Registration Form
(Also for existing patients of the practice who wish to update contact details etc)

Submitting this form does not guarantee acceptance to the practice.  A member of our team will contact you as soon as possible to advise if we currently have space on our list.   If you are accepted as a new patient and have a chronic medical condition or take regular medication, we request that you arrange a registration consultation with a GP after we contact you when a space is available.
Please note that adults must complete their own separate form to register, however children can be included on one of the parents application.

New Patient Practice Registration / Update contact details if changed:
We are accepting a limited number of New GMS/DVC and Private Patients (please read important information above)

Step 1 of 3
Please select why you wish to register with us.
“Please select Patient application type from Dropdown list.
Select todays date
Optional
We require your mobile number in order to sent you SMS (text messages in relation to appointments etc)
This email address will be used to send you a confirmation when this form is sent.
Your PPS number is required for the following services: Covid Vaccine, Covid Tel Consultations, Baby vac, Maternity care, Medical Card Data, Flu vaccines, Social Welfare Certs – without a PPS number standard fees may be applicable.
Enter your GMS/DVC Card Number
Enter your Health Insurance Number if you have Health Insurance.
Select your current insurance provider

Note: Be sure to give consent above in order to submit the form – When the form is submitted sucessfully you will be taken to a confirmation page.

Data Protection and Privacy Statements

For information about our service and how your information may be used, please refer to our Data Protection and Privacy Statements, which is available via our website.

Consent for SMS Personal/Dependants < 16yrs

With your consent and provided your mobile number is correct we can now send you a free text message for the following purpose:

• Inform you & your dependants about results of your blood tests e.g. “results reported as normal or please contact the surgery to speak with your doctor” (please contact the surgery if you do not receive any texts within two weeks from your test date).
• Appointment reminders, Advise you about any changes to your appointment times.
• Remind you about vaccinations, and any other recalls necessary.
• Advice on administration queries for e.g. reminder about forms that are ready for collection
• Clinical results/data will never be exchanged via text message

To provide this service to you need to understand the above and agree to the practice communicating with you via text and to the following conditions:

• I agree to the practice communicating with me via short messaging service (SMS or text) for the above reason.

• I confirm that I will advise the Practice if I change my mobile number and understand that is my responsibility to do so.

• I confirm that I will notify the practice when my dependant reaches the age where they can operate independently

• I am aware that I can withdraw my consent at any time by informing the practice in writing and will need to give at least 5 working days’ notice

• Text messages are generated using a secure facility but I understand that they are transmitted over a public network onto a personal phone and as such may not be secure

This service is for healthcare notifications only not for correspondence. We will not receive any information returned by text.

I confirm that the mobile number entered in the from aboce is correct and is my number and agree to the above conditions.

Phone

01 8331650

Clinic Hours

Mon-Friday 8:30am - 5.00pm

Location

14 Kincora Avenue, Clontarf, Dublin 3, D03 T2W2