Healthcare Professionals

MyAccess Clinics offers virtual appointments for patients anywhere in the Ireland, suffering from long term conditions including: Chronic pain, multiple scelrosis, anxiety, sleep disorders, cancer related nausea and vomiting, migraine.

Refer a Patient

To refer a patient to a specialist at MyAccess Clinics, you can send a referral letter or alternatively complete the online referral form.

You can refer to MyAccess Clinics, by calling +353 1 575 9875

Please choose one of the following options

Options(Required)

Completing the online referral form

Attaching a referral letter

Patient Details

Upload a referral letter below with a brief overview of past medical and treatment history or send your referral letter to referrals@myaccessclinics.com

To be eligible for medical cannabis your patients’ need to have previously been treated with at least two licenced treatments.

Once we have reviewed the referral, we will contact your patient to arrange a suitable appointment.

Title

Name(Required)

First Last

Patient's Phone(Required)

Patient's Email(Required)

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reason for referral

Presenting condition

Past medical history

Current treatment

Medication history

Referrer's details

Doctor's Name(Required)

Position(Required)

Specialist

Phone Number(Required)

Doctor's Email(Required)

GMC Number(Required)

File

Please attach a copy of the 'patient referral' letter.

Drop files here or

Max. file size: 50 MB.

Consent(Required)

I confirm that I have the patient’s consent to share their information with MyAccess Clinics

Healthcare Professionals

Refer a Patient

Please choose one of the following options

Patient Details

Reason for referral

Referrer's details

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