Virginia Medical Practice

Menu

Home
Clinic hours
Repeat Prescriptions
Childhood Vaccinations
Women's Health
ONLINE SERVICES
- FEES
My Details
Medical Card Application

More

Contact Details Form

For Registered Patients of the Practice who wish to update their Contact Details with the Practice

Your Name

Address Including Eircode

Date of Birth

Mobile Number

Landline Number

Emergency Contact

Email

I Confirm

I am a Registered Patient of Virginia Medical Practice

I consent to Virginia Medical Practice contacting me by Text Message if required

Cookies

We use cookies to enable the proper functioning and security of our website, and to offer you the best possible user experience.

Advanced settings

You can customize your cookie preferences here. Enable or disable the following categories and save your selection.

Essential cookies

The essential cookies are essential for the safe and correct operation of our website and the registration process.

Functional cookies

Functional cookies remember your preferences for our website and enable its customization.

Performance cookies

Performance cookies monitor the performance of our website.

Marketing / third party cookies

Marketing cookies allow us to measure and analyze the performance of our website.