Covid-19 Vaccine Preregistration Form

Please complete this form if you are interested in getting the Covid-19 vaccine once it becomes available to patients in your age group/risk category. This will allow us to plan and administer Covid-19 vaccines to patients in a timely, organised and safe manner once we receive adequate vaccines from the HSE.

Once you pre-register, you will be notified by text when a vaccine appointment can be booked as per rollout by the HSE.

This is only available to current patients of the Practice. If you have any queries, please call Reception on 065-6829975 to speak with a member of staff.