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.

Submission of a referral form alone will not initiate an appointment.


regards, the Medmark team

 

Employer Referral Form:

Submit a referral form »

 

If you are referring a Teacher or Special Needs Assistant:

www.medmark4teachersna.ie

 

Our FAQ's:

You can view all our FAQ's here »

Our Enquiry Form:

If you have any further questions you can fill our our enquiry form here »