Apply To Join | Carrickmines Medical Clinic

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Apply to join our new clinic

Please complete this form and we will be in touch if anything else is needed

Medical Practice

First name*

Last name*

Birthday*

Day

Month

Year

Gender*

PPS Number*

Phone*

Email*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Payment Type*

Medical Card / Doctor Visit Card Number (if applicable)

Do you consent to us sending you SMS texts regarding appointments and test results?

Address

Unit 3, The View, Carrickmines Manor, Dublin D18KC43

Opening Hours

09:00-12:00 and 14:00-17:00 (Mon-Fri) (open until 19:00 Thurs)

reception@carrickminesmedical.ie

Health professionals only

carrickminesmedical@healthmail.ie

Phone

Outside of regular hours, please contact:

EDoc GP Urgent Care Service

For Emergencies, phone 999/112

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