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Portumna Primary Care

Portumna Primary Care

The Mindful Doctors | Doctor Roderick Fahey | Doctor Berni Finneran

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Useful Forms

GENERAL FORMS

  • Download Change of Doctor Form
  • Download New Patient Registration Form
  • Download Medical Card GP Visit Card Application

SOCIAL WELFARE SERVICES FORMS

  • Disability Allowance Application Form
  • Domicillary Care Allowance Application Form
  • Invalidity Pension Application Form
  • Maternity Benefit Application Form

DRIVING RELATED FORMS

  • Driving Licence Eyesight Report Form
  • Driving Licence Medical Report form

PERSONAL INJURIES BOARD FORMS

  • PIAB Medical Assessment Form

MEDICATION/PRESCRIPTION CLAIM FORMS

  • Drugs Payment Scheme Application Form
  • New Childhood Vaccination Schedule

OTHER FORMS

  • European Health Insurance Application Form

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    Contact Us

    • Portumna Primary Care
    • St Patrick Street
    • Portumna
    • Galway
    • Ireland
    • (090) 9741657
    • info@wellsense.ie
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