• 1
    Step 1
    Personal details
  • 2
    Step 2
    Social & Family 
  • 3
    Step 3
    Medical History
  • 4
    Step 4
    Medical History
  • 5
    Step 5
    Medical History
  • 6
    Step 6
    Medical History

Union Quay Medical Centre

Health Screening Questionnaire

Form Submitted Successfully!

We will contact you as soon as possible.

COVID VACCINE APPOINTMENT

If you would like to receive your Covid Vaccine, please email us at info@uqmc.ie with your name and date of birth.