Forms and Links

Here are some useful forms you can download. You can fill out the forms before you visit the practice.

Medical Card Form

Medical Card/ GP Visit application form

Social Welfare Forms

Disability Allowance Application Form DA1
Maternity Benefit Application Form

Driving Licence Forms

Eyesight Test for Driver’s Licence
Medical report for Driver’s Licence

Other Useful Forms

European Health Insurance Card Form E111
Cervical Check Form
Change of Doctor Form

Useful Links

Company

Alcoholics Anonymous

Aviva Insurance

Aware

Breast Check

Cervical Check

Cork Fertility Centre

Cork University Maternity Hospital

European Health Insurance Card

Health Service Executive

Irish Cancer Society

Irish Health

Irish Heart Foundation

Laya Healthcare

Patient Support Groups

VHI

Website URL

www.alcoholicsanonymous.ie

www.aviva.ie

www.aware.ie

www.breastcheck.ie

www.icsp.ie

www.corkfertilitycentre.com

www.cuh.hse.ie

www.ehic.ie

www.hse.ie

www.cancer.ie

www.irishhealth.com

www.irishheart.ie

www.layahealthcare.ie

www.irishhealth.com/psg/

www.vhi.ie

Phone Lines Busy - COVID-19/Coronavirus

Due to the Coronavirus/COVID-19 outbreak, our phone lines are experiencing more activity then usual.

If you are having difficulty getting through, please contact us on email at wiltonroadmedicentre@gmail.com or use the contact form on our website and our reception staff will endeavour to get back to you as soon as possible. This email facility cannot guarantee urgent same day queries.

Please do not include medical details as this is not a guaranteed secure platform

Please do not use email if your query is urgent as it may not be checked immediately

Thank You,
The Medicentre Wilton Road Team