private-cert – Brookhaven Medical Centre

Please allow 24 hours before collecting your certificate from the surgery.
The doctor will review your request and you may need to be seen before issuing the certificate

Please note that for a first Social Welfare Certificate you will need to visit the surgery to sign a consent form

This facility is not for first time certificates

Name

Date of Birth

Address

Address Line 1

Address Line 2

Email Address

Reason for certificate

From what date?

Duration (nr of weeks)

I agree with being contacted by phone, email or SMS text

Certificate cost

Private – €20

GMS – €10