Printable Forms

Application Forms : Medical Card and GP Visit Card

Form for Persons under 70 years

Form for Persons 70 years or older

Change of Doctor (MCx)

Print this form and please carefully enter all details correctly. Then arrange for your GP to complete the 'Acceptance of Eligible Person' section.

Print Form

Foirm Athrú Dochtúra

Prescription Charge Refund Claim Form (PC1)

Print this form and follow the instructions on it to fill your application correctly

Print Form

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