Employer Referral Forms
You wish to complete an occupational medical referral related form. These forms are designed for safe and confidential transmission. Please take care in choosing the correct form. We will process these forms quickly and forward the reports to the relevant person.
If an appointment is required, and not already scheduled, please contact the relevant Medmark centre by telephone to set up the appropriate appointment.
Employer Referral Form:
If you are referring a Teacher or Special Needs Assistant:
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We have offices in Dublin, Cork, Limerick, Galway, Waterford and Sligo.
We are national – we cover Ireland with unified and secure systems. We have offices in Dublin, Cork, Limerick, Galway, Waterford and Sligo.