Hospital Outpatient Booking Form

Hospital Outpatient Booking Form



If you are over 12 weeks pregnant, have an underlying medical condition or have Diabetes, please complete the form below but also send in your GP Referral letter to cb@nmh.ie as you may need to be referred to a specialist clinic.

 

Shared care is provided for you between the Hospital and your G.P.

Specify your previous address and/or if your name has changed so we can assign you your previous hospital number.

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