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Request a new appointment

Blackrock Health offers fast access to expert medical treatment, and we aim to offer the highest possible standards of care.

You can attend at one of our three hospitals - Blackrock and Hermitage Clinics in Dublin, or at Galway Clinic - and at our diagnostic clinic in Limerick. Please note that appointments for most diagnostic tests, treatments or procedures will first need a referral from your GP. If you're in doubt, please search on our Treatments and Procedures page to confirm how to make an appointment for the healthcare service you need. 

You can use this form to request an appointment or to send in a referral you have received from your GP.  Just enter in your information on the form below, and a member of our team will contact you to discuss and respond to your request. If you already have a referral letter, please attach it to the form below. This will help us to process your application without delay.

Patient Details
Referring Doctor's Details (if applicable)

Referral Letter

Most appointments require a referral letter which you can upload here. If your service is not listed or if it doesn't require a referral letter, please check the service page for more information.
One file only.
5 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.

Additional Notes

Any additional information relevant to your condition? Please indicate if this is your initial appointment or renewal appointment.