Request a copy of your medical records

If you've attended one of our hospitals or our diagnostic clinic, you can request a copy of your medical records. Just complete the form below, and one of our team will contact you to discuss your request.

Location

First name

Last name

Date of birth

Phone number

(in intl format e.g. +353 85 012 3456)

Address

City

County

Eircode

Other name (if any)

Maiden name

Please enter the timeframe of the medical records you’re asking for (e.g. January 2015–December 2020)

In order for us to verify your identity, we’ll follow up with an email asking you to provide a copy of one of the following. Please tick the document you intend to provide:

Passport

Drivers licence

Other photo ID

Proof of address

Records can be sent to your address or via secure, encrypted email to the email address provided in this form. Please specify how you wish to receive your records:

Via email

Via post

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