Skip to main content

Useful Forms

Helping you and your family since 1971

Kickham St. Medical Centre

Kickham Street,
Carrick-on-Suir,
Co Tipperary,
E32 T922

051 640565

Clonea Health Centre

Clonea Power,
Co Waterford,
E32 F893

051 646003

Book Appointment

Click here to book an
appointment

Make An Appointment

Opening Hours

Click below to view our clinic
opening hours

Kickham St. Medical CentreClonea Health Centre

USEFUL FORMS

Medical Card / GP Visit Card Application Form (MC1)

Medical Card Application Form for over 70s (MC1A)

Health Expenses – Claim for Relief Form (MED1)

Dental Expenses – Claim for Relief Form (MED2)

Maternity benefit Application

Medical Report for Driver’s License (D501)

Cervical Check – Cervical Cytology Form

Antenatal Combined Care Application Form

European Health Insurance Card Application Form

Drugs Payment Scheme Application Form

CONTACT US

Get In Touch

Kickham St. Medical Centre

Kickham Street, Carrick-on-Suir, Co Tipperary, E32 T922
Phone: 051 640565

Clonea Health Centre

Clonea Power, Co Waterford, E32 F893
Phone: 051 646003

Clonea Health Centre

Clonea Power, Co Waterford, E32 F893

051 646003

Kickham St. Medical Centre

Kickham Street, Carrick-on-Suir, Co Tipperary,
E32 T922

051 640565

Out of hours Caredoc:

0818 300 365

NEWS

We are delighted to announce that we are expanding our Practice and will be moving to the Primary Care Centre in early 2024 with new state of the art facilities and free parking More to follow… ... See MoreSee Less
View on Facebook

We're Here To Help

Get In Touch