Application & Forms

Apply Online

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Medical Card

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GP Visit Card - General, Over 70, Under 8 & Carer

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Drugs Payment Scheme

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European Health Insurance Card

Download Forms

Medical Card & GP Visit Card

Medical Card and GP Visit Card (Over 70)

Under 8 GP Visit Card

Carer's GP Visit Card

Carer's Allowance

Drugs Payment Scheme

Long Term Illness Scheme

Maternity Benefit

European Health Insurance Card

Driving Licence - Medical Report (this 2-page form must be printed on both sides of 1 page)

Driving Licence - Eyesight Report (this 2-sided form must be printed on both sides of 1 page)

Change of Doctor Form (for Medical/GP Visit card holders only)

Contact 

059-6481520

Unit 2, Mill St., Baltinglass, Co. Wicklow, W91 P9KK

baltinglassfamilypractice@gmail.com

Opening Hours

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Mon - Fri 8am - 5 pm

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