Skip to content
Clifden Medical Practice Logo
Book an Appointment
Call Us: 095 21224
  • Home
  • Services
    • Children’s Health
    • Women’s Health & Family Planning
    • Men’s Health
    • International Patients
    • Medical Card Patients
    • Preventative Health
    • Travel Health
    • Well Person Checks
  • Our Team
  • Surgery Info
    • Our Location
    • Opening Hours
    • Useful Forms
    • Useful Links
  • Fees
  • News
  • Covid-19 Vaccinations
  • Contact Us
  • Menu
Home » Useful Forms

Useful Forms

For tax relief on medical expenses: MED1 Form
http://www.revenue.ie/en/personal-tax-credits-reliefs-and-exemptions/documents/med1.pdf

Application form for medical card/ doctor visit card
http://www.hse.ie/eng/services/list/1/schemes/mc/forms/medicalcardformmay15.pdf

Application form for maternity benefit
http://www.welfare.ie/en/pdf/mb1.pdf

Eyesight test for driving licence
https://www.ndls.ie/images/Documents/DrivingLicence/155076_NDLS_Eyesight_Rep_V9_Online_FA_BD_PDFX.pdf

Medical Report for driving licence
https://www.ndls.ie/images/Documents/DrivingLicence/155076_NDLS_Med_Rep_V9_Online_FA_BD_PDFX.pdf

Carers Allowance Application Form
https://www.gov.ie/pdf/?file=https://assets.gov.ie/19942/5c857d64529f42b78db3dc4afe8feb5a.pdf

Carers Benefit Application Form
https://www.gov.ie/pdf/?file=https://assets.gov.ie/19923/2847745f86944188b90be0e885bf4a01.pdf

Domiciliary Care Allowance Form
https://www.gov.ie/pdf/?file=https://assets.gov.ie/10305/1744b043a96944af8afc9af0498bd8b8.pdf

 

 

 

Recent News

  • New Online Booking System May 21, 2024
  • Flu Vaccination Now Available November 10, 2022
  • 2nd booster for over 65s and immunocompromised May 3, 2022
  • Online Booking for Covid-19 Vaccinations December 16, 2021
  • Vaccine roll out April 26, 2021

Address

Clifden Medical Practice
Westport Rd, Clifden,
Connemara, Co. Galway, Ireland

Contact Us

Tel: 095 - 21224 / 21225 / 22272
Fax: 095 - 21884
Email: clifdenmedicalpractice@gmail.com

Clifden Medical Practice
Westport Rd, Clifden,
Connemara, Co. Galway, Ireland

Tel: 095 - 21224 / 21225 / 22272
Fax: 095 - 21884
Email: clifdenmedicalpractice@gmail.com

© 2025 Clifden Medical Practice - Website by Cuán Mara Design
A SiteOrigin Theme