Enrol as a patient

We welcome new patients here at Miltown Malbay Medical Centre. If you wish to enrol, please first contact reception on (065) 708 4494. Once approved, you can complete the forms below and return to us via post, drop off or email.
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Please note, we may close our books to new enrolments during periods of high demand such as in winter so that we can provide the best service possible to our patients.
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For further information please email info@miltownmalbaymedical.ie.
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Become a new patient

Download New patient registration form

Request to transfer records

Download Request to transfer records form