Digital Referral

Sick Cert – Order Online

€40.00

GP CONSULTATION MEDICAL CERTS ARE FOR REGISTERED PATIENTS ONLY

The sick cert will be available at the surgery once the order is reviewed and completed.

This sick cert ordering request is only available 9.30am – 5pm, Mon – Fri.

NOTICE – IF YOU ARE NOT AN EXISTING PATIENT A SURPLUS FEE WILL BE APPLIED TO COVER A GP CONSULTATION

*Existing Patient
Are you an existing patient registered with South Beach Medical Centre ?

YES

NO
Patient Details
These details are so we can assess your prescription request and check your medical history.

Name

Address

Telephone

Date Of Birth

Ailment - Is or Was suffering from ?

Absent
Is / Was unable to attend work during the dates below.

*From Date

*Up To & Including Dates

Category: Certs Tags: Booking, cert, Existing, Online, Patients, sick

Description

Description

Sick Cert – Order Online

*** FOR EXISTING PATIENTS ONLY ***

IF YOU ARE NOT AN EXISTING PATIENT A SURPLUS FEE WILL BE APPLIED TO COVER A GP CONSULTATION

Title

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