Some Useful Forms and Information
Below you will find lots of information and forms that may be of use.
Medical Card Application Forms
Medical Card & GP Visit Card - on-line
Over 70's Medical Card and GP Visit Card application - on-line
Over 70’s Medical Card and GP Visit Card - on-line
Under 8's Doctor Visit Card - on-line
Under 8's GP Visit Card - Registration Form
Change of GP Form (Medical Card & Doctor Visit Card patients only)
European Health Insurance Card (EHIC) - on-line
Illness, Carer & Disability Benefit & Allowance Schemes
Illness Benefit apply online - MyWelfare.ie
Illness Benefit application IB1 Form.
Long Term Illness (LTI) Scheme - Application Form
Partial Capacity Benefit - Application Form
Carer's Benefit Application Form - CARB1 Form
Carer's Support Grant Application Form - Form CSG1
Disability Allowance Application Form - Form DA1
Disablement Benefit or Incapacity Supplement Application Form - Form OB21
Domiciliary Care Allowance Application Form - Dom Care 1 Form
Domiciliary Care Allowance Specialist Report - Dom Care 3 Form
Drugs Payment Scheme - Application Form
Maternity Benefits
Maternity Benefit apply online - MyWelfare.ie
Maternity Benefits Application - Form MB1
Apply for additional 16 week Maternity Leave - Maternity Benefits Form
Tax Relief for Medical Expenses
Claim tax relief for health expenses, apply online -Revenue on-line
Claim tax relief for dental expenses MED 2 Form
Prescription Charge Refund Form - PC1 Form
Tax Relief for vehicles purchased / acquired for use by people with disabilities - Form DD1
Claim for Fuel Grant in respect of fuel for drivers & passengers with disabilities - Form FG1
Apply for Primary Medical Certificate - Local HSE Office
Apply for EU Parking Card via DDAI website - Apply online
GDPR
The General Data Protection Regulation is a new law that comes into effect in Europe on 25th May 2018, it replaces previous Data Protection laws from 1998 and 2003.
This law governs how your personal data is stored, accessed, shared and processed. The law comes from the European Union and is complex, but in essence it regulates data controllers and provides rights to data subjects.
It is an important law and as a result we are implementing the necessary changes to ensure we are compliant with this law.
As your GP we are data controllers-which means we are responsible for important personal data that is held on file in the practice about you. Our practice has a Privacy Policy in place and this can be viewed below:
3rd Party Collection Consent Form
New Patients
New patients can register with us by using the chatbot on our website.
If you have children with an under 8 Doctor Visit Card you will need to move their card to our list. Print the Change of Doctor form below, fill it in and return to our reception team to action.
INTRODUCTION TO PRACTICE COMPLAINTS PROCEDURE
We know that sometimes we can make mistakes or fail to meet expectations. There will be times when patients/families and carer’s will express dissatisfaction with the service/care provided at our practice. It is our practice policy to do our best to resolve complaints as early as possible in the process and to ensure that each member of staff has a duty to listen to our patients concerns. All complaints whether verbal or written will be taken seriously and handled appropriately, sensitively and confidentially by our doctors, nurses and administrative staff.
We are committed to safeguarding the rights and dignity of our patients and members of staff in the implementation of this policy. Learning from comments, suggestions and complaints helps us to continuously improve our service and that is the spirit in which we receive feedback. We want to continuously improve the quality of our patients’ care experience and treatment at all times and we will implement changes in response to shortcomings where ever possible and in a timely manner.
Open Disclosure
It is the policy of this Practice to disclose to patients all information relating to shortcomings in care and treatment.
Apology
It is the policy of this practice to offer an apology when we have failed to meet our commitments to patients. We support open disclosure and will communicate with our patients and their families in an open, honest and transparent manner if things go wrong. We believe it is the right thing to do; it is the correct and ethical response to an adverse event and, crucially, we believe it allows patients and their families to make informed decisions regarding their subsequent treatment and care.
Managing complaints
We are committed to resolving complaints at the earliest possible opportunity and all members of our practice team will treat feedback, both positive and negative, with courtesy, respect and efficiency and follow the Standard Operating Procedure (SOP) which accompanies this policy. Similarly, we expect patients to treat all members of our practice team with respect and courtesy when making a complaint. We will publicise our procedure on our website and in our Waiting Room so that people know how they can raise an issue and with whom. We will always try to resolve complaints in person and at the earliest opportunity. If the appropriate person is not available to deal with a complaint, we will ensure that a member of our practice team will make contact with the patient and/or family at the earliest possible opportunity. Where an investigation is indicated, patients and families will be included from the outset.
Anonymous Complaints
In the interest of fairness, we cannot investigate anonymous complaints.
Vexatious Complaints
If following investigation, a complaint is found to be frivolous or vexatious, we will not pursue the complaint any further. If a complaint is found to be vexatious or malicious, there will be no record of the complaint in the file of the staff member / service about which the complaint was made. Before the complaint is deemed vexatious the member of staff who receives it must bring it to the attention of the designated person in the Practice.
Principles
The principles which underpin our policy are:
Fairness and Equity
The investigation of complaints will be fair and transparent and patients should not fear recrimination for raising an issue of concern to them. A consistent and standardised approach will be adopted for the management of all complaints.
Respect
We will treat patients and families with respect and dignity as we also expect to be treated by patients and their families
Accessibility
We will publicise our policy and make it accessible to patients and their families. Special attention will be paid to the needs of people with special requirements e.g. older people, children, people with physical and sensory disability, literacy issues and disadvantaged groups.
Effectiveness and Efficiency
We will try to resolve all complaints effectively and within clearly stated timeframes without compromising other principles. Impartiality We will deal with all complaints in an impartial manner. Complainants will have the opportunity to be heard and complaints will be investigated without prejudice to either the complainant, the doctor or member of staff.
Confidentiality
We will treat all information obtained through the course of complaint management in a confidential manner and meet the requirements of Data Protection legislation. Consent We will ensure that consent to access patient-confidential information is obtained (or acceptably implied) from the complainant and/or the person on whose behalf the complaint is made.
Accountability
Procedures will be transparent to the complainant during the process of all complaint investigation. Recommendations arising from any investigation will be implemented where resources allow. Recommendations relating to Patient Safety will be given priority and an appropriate action plan will be implemented in a timely manner. Complaints will be recorded and action plans will be monitored ensuring learning from complaints.
Right of Appeal Patients will be informed of their rights in relation to appeals processes and of other avenues to pursue their complaint if dissatisfied with the local investigation
How do I make a complaint?
Step 1 Talk to your GP or any member of our staff or send a letter or email the Practice at reception@malahidefp.ie
Step 2 What will happen next? We will try to resolve your complaint as quickly as possible and will acknowledge it at the earliest possible opportunity and certainly within 5 working days. Our aim will be to have looked into the matter within 10 working days. You will be contacted by phone or receive a formal reply in writing or you may be invited to meet with us to attempt to resolve the complaint to your satisfaction. We will give you the opportunity to comment on the process and if a meeting is arranged you will be invited to bring a friend or relative with you. Our aim will be to try to adhere to a 30day timeline and if there are reasons why it will take longer, we will inform you of this and explain why. We adhere to the strictest rules of medical confidentiality. If you wish to make a complaint on behalf of another patient, we will require the written consent of the patient to confirm their consent for you to deal with the complaint on their behalf and for us to release medical details to them.
Step 3 When looking into a complaint we attempt to :
~ Find out what happened and what went wrong and why
~ Make it possible for you to discuss the problem with those concerned
~ Ensure you receive an apology where this is appropriate
~ Identify what we can do to make sure the problem does not arise again.
We will do our utmost to resolve your complaint quickly and to your satisfaction but if we believe that we need assistance, for example, mediation or other external assistance we may arrange this in consultation with you.
Step 4 When the investigations are complete your complaint will be determined and a final response sent to you. If your complaint is still not resolved to your satisfaction, there are several external options where you may bring your complaint:
HSE
Email: yoursay@hse.ie Website: www.hse.ie Infoline: 1850-24-1850 Address: Oak House, Millenium Park, Naas, Co. Kildare.
OMBUDSMAN FOR CHILDREN Email: oco@oco.ie Website: www.oco.ie Infoline: 1800 20 20 40 Address: Millenium House, 52-56 Great Strand Street, Dublin 1.
MEDICAL COUNCIL Email: info@mcirl.ie Website: www.medicalcouncil.ie Tel: 01 4983100 Address: Kingram House, Kingram Place, Dublin 2
AN BORD ALTRANAIS Email: ftp@nursingboard.ie Website: www.nursingboard.ie Tel: 01 6398500 Address: 18-20 Carysfort Avenue, Blackrock, County Dublin
~ REMEMBER ~ Your opinion matters to us and your feedback is welcome and helpful