Book Appointment - AWAMC

Book An Appointment

Please note that if you are not a registered patient or do not hold a valid HSE card with Agarwal Wellness and Medical Centre, neither an appointment nor a refund for the booked services is guaranteed and fees will be applicable as required. We appreciate your co-operation. Thank you.

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To book an appointment, please create an account.

Name *

Surname *

Email *

Date of Birth*

Gender assigned at birth*

Phone *

PPS No *

CSID

Eir Code *

Brief reason/s for the request *

Your appointment with :

Name and Address of Your Preferred Pharmacy *

Allergies (if any) *

MEDICATION *

Regular/New	Medication Name	Strength	No.of Tabs/Time	Freq. taken/Day	Duration

Upload Document (Optional)

Do you have medical or doctor visit card ?*

Yes

No

Medical/ doctor visit card Number *

Check validity

I declare that the requested appointment is non urgent and if there is a change in my situation I will notify the practice immediately or contact 999/112 as appropriate