Centric Specialist Care

If you have any questions or patients, who might benefit from attending any of our services, please refer them by either:

Filling out the GP referral form below
Contact us by email specialistcare@centrichealth.ie or call us on 01 2993555 with any queries you may have.
You can also use the standard patient referral letter on your patient administration system (Socrates, HPM and HealthOne) and submit to us via email, fax: 01 5240194 or the upload button below.

Patient Name *

Address

Date of Birth

Phone number

Email *

Referrer Details

GP Name

GP Address

GP Email

GP Phone

IMC Number

Description of the Concern

Specialty

Dermatology
Minor Surgery
Sexual Health
Heart Care at Home
Healthpath Health Assessment

Comment *

File upload

Consent for storing submitted data *

Yes, I give permission to store and process my data

Need to see a GP Specialist?

GP information