We are currently accepting new patients

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If you would like to register with Eastgate Medical, please complete and sign the forms below and return to reception. Alternatively you can email your signed forms to info@eastgatemedical.ie.  Your application will be reviewed and considered in turn. Please note, we are receiving large volumes of new patient requests so there may be a waiting time for your application to be processed. 
 

1. New patient registration form

2. Data Protection Consent Form

3. Request of Medical Records From Previous GP Form

4. Change of GMS Doctor Form (for medical card or doctor visit card holders only)