New Patient Forms

New patients to Blackrock Psychology Medicine should print and fill in the following forms before their first consultation.

New Patient Intake Form v1

Patient Consent Form v1


Opening Hours

Monday - Thursday:   0900-1700
Friday: 0900-1300



Blackrock Psychological Medicine
Suite 13, Blackrock Clinic
Co Dublin
Eircode: A94E4X7

T: 01-2064217
F: 01-2780354