HCP Referral

HCP Referral Form

Please fill out the form below to refer your patient.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Patient's Details

Patient’s Name*
Patient’s Date of Birth

Referrer’s Details

Consent*
Please note: We are not an emergency service. If you need emergency input regarding this referral please link with the patient’s GP or contact Emergency Services as appropriate.

Maria

Maria O’Connor

Maria holds a B.Sc. in Sport and Exercise Science from the University of Limerick and an ITEC diploma in Aerobics & Gym Instruction. She has worked in the health and fitness industry for over 25 years in both Dublin and Galway as a freelance personal trainer and physical activity coordinator.  Maria holds a dual role at the Support Centre both as an Exercise Specialist since 2024, assisting with programmes at our Physical Rehabilitation and Exercise service, and separately as a Volunteer in our Support Centre since 2023, welcoming visitors to the Centre.
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