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Useful Forms
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Online Booking
Contact Us

Register

Home » Register

To register for our online appointments and perscription re-ordering system please use the form below.

Name *

First

Last

Date of Birth *

Landline (If Applicable)

Mobile Number

Preferably Mobile Number

Email *

STREET ADDRESS 1 *

ADDRESS 2

TOWN/CITY *

COUNTY *

I give permission to Scally McDaid Roarty Medical Practice for my data to be stored and used for the purposes of online appointment booking and prescriptions *

YES
NO

I give permission to Scally McDaid Roarty Medical Practice to contact me via phone, text message and email *

YES
NO

Should there be any change to the above, I will contact Scally McDaid Roarty Medical Practice

YES

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Message

Contact Details

Scally McDaid Medical Practice
Level 1,
Dr. Scally Place,
Letterkenny,
Co. Donegal,
F92 DPX8

074 9164111

Our Location

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