Your preferred date and time are a request. Reception will contact you once your appointment is arranged.

All appointment times are in Irish local time.

Read our Privacy Notice (opens in a new tab) before completing your request.

Appointment request

Request a consultation

1. Details

2. Referral

3. Date & time

4. Review

Your details

Only the details needed to match you safely and contact you.

First nameLast nameDate of birthPhoneEmail

We use your details to review your request, arrange your appointment and administer any referral you provide. Read our Privacy Notice (opens in a new tab) before sending your information.