{"id":901,"date":"2024-02-02T19:36:48","date_gmt":"2024-02-02T19:36:48","guid":{"rendered":"http:\/\/localhost\/borrisoleighsurgery\/?page_id=901"},"modified":"2024-05-17T08:19:10","modified_gmt":"2024-05-17T08:19:10","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.borrisoleighsurgery.ie\/?page_id=901","title":{"rendered":"Medical Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"901\" class=\"elementor elementor-901\">\n\t\t\t\t<div class=\"elementor-element elementor-element-265c9e4 e-flex e-con-boxed e-con e-parent\" data-id=\"265c9e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-38266a7 e-con-full e-flex e-con e-child\" data-id=\"38266a7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;opacity-tilt&quot;}\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 2600 131.1\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L2600 0 2600 69.1 0 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.5\" d=\"M0 0L2600 0 2600 69.1 0 69.1z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.25\" d=\"M2600 0L0 0 0 130.1 2600 69.1z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e7873d8 elementor-position-top elementor-invisible elementor-widget elementor-widget-image-box\" data-id=\"e7873d8\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/04\/cervicalcheckform.png\" class=\"attachment-thumbnail size-thumbnail wp-image-1270\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Cervical Check \u2013 Cervical Cytology Form<\/h5><p class=\"elementor-image-box-description\">\n<table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Cervical_Check_Cervical_Cytology_form.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b930ccc e-con-full e-flex e-con e-child\" data-id=\"b930ccc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8eccf5a elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"8eccf5a\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/04\/medicalcardform.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-1243\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Medical Card \/ GP Visit Card Form<\/h5><p class=\"elementor-image-box-description\">\n<table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Medical-Card-GP-Visit-Card-Application-Form-MC1.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-98520f5 e-con-full e-flex e-con e-child\" data-id=\"98520f5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27385ef elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"27385ef\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/04\/medicalcardform.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-1243\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Medical Card Application Form For Over 70's<\/h5><p class=\"elementor-image-box-description\">\n<table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Medical-Card-GP-Visit-Card-Application-Form-for-over-70s-MC1.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-309646c e-con-full e-flex e-con e-child\" data-id=\"309646c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c4b26c elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"9c4b26c\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/02\/healthexpensesform.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-883\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Health Expenses \u2013 Claim For Relief Form <\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Health-expenses-claim-for-relief-form-MED1.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-32513f3 e-con-full e-flex e-con e-child\" data-id=\"32513f3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c22ad2d elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"c22ad2d\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/02\/maternity.jpg\" class=\"attachment-full size-full wp-image-897\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Maternity Benefit Application Form <\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Maternity-benefit-application-form-MB10.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86eb20e e-con-full e-flex e-con e-child\" data-id=\"86eb20e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66b4404 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"66b4404\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/04\/driverslicense.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-1255\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Medical Report For Driver\u2019s License (D501)<\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Driving-license-medical-report-form-D501.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb019c9 e-flex e-con-boxed e-con e-parent\" data-id=\"eb019c9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fb678e0 e-con-full e-flex e-con e-child\" data-id=\"fb678e0\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d535bc3 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"d535bc3\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/04\/europeanhealthinsuranceform.jpg\" class=\"attachment-full size-full wp-image-1256\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">European Health Insurance Card Application Form<\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/EHIC-application-form.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3145384 e-con-full e-flex e-con e-child\" data-id=\"3145384\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-292702a elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"292702a\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/02\/drugspaymentscheme.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-919\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Drugs Payment Scheme Application Form<\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Drugs_Payment_Scheme_Application_Form.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d5f021 e-con-full e-flex e-con e-child\" data-id=\"4d5f021\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b3bac5 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"5b3bac5\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"147\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/02\/maternity.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-897\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">HSE Antenatal Combined Care Form<\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/HSE_Antenatal_combined_care_form.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-969f9db e-con-full e-flex e-con e-child\" data-id=\"969f9db\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f13530b elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"f13530b\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"111\" height=\"102\" src=\"https:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/dentist.png\" class=\"attachment-thumbnail size-thumbnail wp-image-1770\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h5 class=\"elementor-image-box-title\">Dental Expense's Claim Relief Form (Med2)<\/h5><p class=\"elementor-image-box-description\"><table style=\"width:100%; border: 3px solid white;\">\n<tr><td style=\"30%\"><\/td><td style=\"background-color: black;width:40%\"><H5 style=\"color:white;\"><a href=\"http:\/\/www.borrisoleighsurgery.ie\/wp-content\/uploads\/2024\/05\/Dental-expenses-claim-for-relief-form-MED2.pdf\" style=\"color:white\";>CLICK HERE <\/a> <\/H5><\/td><td><\/td><\/tr><\/table>\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cervical Check \u2013 Cervical Cytology Form CLICK HERE Medical Card \/ GP Visit Card Form CLICK HERE Medical Card Application Form For Over 70&#8217;s CLICK HERE Health Expenses \u2013 Claim For Relief Form CLICK HERE Maternity Benefit Application Form CLICK HERE Medical Report For Driver\u2019s License (D501) CLICK HERE European Health Insurance Card Application Form CLICK HERE Drugs Payment Scheme [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/pages\/901"}],"collection":[{"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=901"}],"version-history":[{"count":57,"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/pages\/901\/revisions"}],"predecessor-version":[{"id":1786,"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=\/wp\/v2\/pages\/901\/revisions\/1786"}],"wp:attachment":[{"href":"https:\/\/www.borrisoleighsurgery.ie\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}