Briarhill Family Practice warmly welcomes both private patients and Medical/GP Visit Card holders. To register with our Practice, you need to complete a New Patient Registration Form and drop/email it into the reception. Please take the time to fill in this form as accurately as possible. It is vital we have a full understanding of your current health condition and previous health issues, as well as a list of your medications and drug allergies.
We also suggest completing three additional forms: The Consent to Transfer of Medical Records Form and the Consent to Text Form. People on the Medical Card or GP Visit Card schemes will be required to fill out a Change of Doctor Form.
Consent to Transfer of Medical Records Form
The Consent to Transfer of Medical Records Form gives Briarhill Family Practice permission to contact your previous GP to transfer your medical records. Your medical records are important because they help us to understand your unique health condition and provide better healthcare for you and your family. If you are happy to receive this service, please fill in the Consent to Transfer Medical Records Form and drop/email it into reception.
Consent to Text/Email Form
The Consent to Text/Email Form gives Briarhill Family Practice permission to contact you by text/email to remind you of an upcoming appointment or to inform you that your test results are back. If you are happy to receive this service, please fill in the Consent to Text/Email Form and drop/email it into reception.
Medical/GP Visit Card Change of Doctor Form
The Medical/GP Visit Card Change of Doctor Form allows people on the Medical/GP Visit Card to request a change from their current GP to a new GP. If you would like to transfer to a GP at Briarhill Family Practice, please fill in this form and drop/email it into reception. Your chosen GP will review your form, sign the 'Acceptance of Eligible Person' section and send it to the HSE on your behalf. The HSE will then process your request to change doctors, and replacement Medical/GP Visit Cards will be sent to you and your family.
You can register with Briarhill Family Practice by:
1. Completing the New Patient Registration Form – drop/email into reception before your first consultation.
2. Completing the Change of Doctor Form – only for people on the Medical/GP Visit Card schemes.
3. Completing the Transfer of Medical Records Form – if you are happy to avail of this service.
4. Completing the Consent to Text/Email Form – if happy to avail of this service.
Registration is free.
If you would like to email or post completed forms to us, please:
Email reception: firstname.lastname@example.org
Post to: Briarhill Family Practice, Briarhill Shopping Centre, Briarhill, Galway.