GP Registration Form

Why do we need this information?

In order to set you up with a Healthmail account we need to ensure you are a general practitioner working in a practice. The information you provide will be authenticated by the Irish College of General Practitioners. We need your existing personal email account and mobile phone number so that we can send you a username for your new Healthmail account by email and a password by text message.

Personal Details About your Practice
Your User ID for ICGP Web Site
E.g. (01) 123 4567
       
 
Current Email Address
 
Confirm Email Address (Current)

 

Hospitials you work with
 
Click on Hospital name to transfer to your list.
   
Terms & Conditions  
I agree that my information can be viewed by the Irish College of General Practitioners to authenticate me as eligible for a Healthmail account.