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Prescription re-order form

Patients may now order repeat prescriptions online, by filling out the form below. 

Please ensure that you re-order your repeat prescription well in advance of your renewal date, as a minimum of 48 hours notice is required for issuing a repeat prescription.

Repeat Prescription form

Upload

Patient registration form

Please contact reception to enquire about the possibility of becoming a new patient. Should this be approved please fill out the attached registration form 

​Patient registration form

Upload

Consent to discuss

Please complete the form below and bring it to the surgery so we can discuss your medical details with one designated contact.

Consent to discuss form

Upload

Change of personal details 

It is important that we have up to date contact details in case we need to contact you.

Please let us know should you change your name, address or telephone number by contacting us or filling out the attached form.

Change of personal details form

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Consent to transfer records

Please fill out this form and send to your previous GP, in order to release your medical records to us

Consent to transfer records

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Appointments

Surgery by appointment only. Please telephone the surgery to make an appointment

Phone

071 91 42254

Caredoc (out of hours)

0818 365 399

Address

6 The Mall, Rathquarter, Sligo

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