01 678 5100
Useful Forms
Fitzwilliam Medical Centre conveniently located in Dublin city centre
20 Years Experience
Our Doctors partake in continuous education to ensure delivery of a comprehensive and innovative healthcare service.
Useful Forms
Medical Card application (MC1)
Medical Card application for over 70’s (MC1A)
Medical Card application for under 6’s
European Health Insurance Care Application form
Long term Illness application
Drug Payment Scheme Application form
Paternity Leave application
Maternity Leave application
My Pregnancy Book
Maternity Benefit form
Paternity Benefit application
Health Expenses Med1 form
Driving licence Medical report form (D501)
Driving licence eyesight report form
Contact Us
At Fitzwilliam Medical Centre our patient’s needs are at the heart of everything we do
View Our Services
Fitzwilliam Medical Centre,
79 Fitzwilliam Lane,
Dublin 2
01 678 5100
Out of hours Eastdoc:
01 209 4021
OUR SERVICES
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