Please complete and submit the below form if you are interested in joining Mungret Medical Centre.

If you are interested in joining Mungret Medical Centre as a patient, please complete the form below. Since establishment, the team Mungret Medical Centre has been available to those without a local General Practitioner service and in need of same.
The New Patient Form below can be filled out and submitted online, and can also be downloaded as an editable PDF or collected in paper form from MMC.
Please complete an individual form for each adult and/or child interested in joining the practice. After submission a copy of the details will be emailed to your supplied email address below for review.
Further information is also available on our GP services and about us pages.
When joining Mungret Medical Centre, you will generally be booked with either Dr Brian McEllistrem or Dr Muireann Clifford for the initial consultation. If you have a preference in terms of which doctor you see please let us know.
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