Self registration

This function allows people who have diabetes to register themselves with Diabetic RetinaScreen - The National Diabetic Retinal Screening Programme. Health professionals can register their clients directly using the registration option under the 'Health professionals' tab above.

Please enter your details below and proceed to the next page to print the registration form for completion by your family doctor (GP).

Thank you.

Registration form

First Name

Middle Name

Surname

Date Of Birth

Sex

Surname at Birth

Mother's Maiden Surname

Address Line 1

Address Line 2

Address Line 3

County

Phone

To enable the Next button, please read over and confirm the information you provided above is accurate.

I confirm all the information above is correct and accurate.

DRS: Monday 2 September 2024

Search

Search - Use spaces to separate your keywords Search

Diabetic RetinaScreen

Email: info@diabeticretinascreen.ie
Freephone Information Line: 1800 45 45 55 Choose option 1.

Is cuid den tSeirbhís Náisiúnta Scagthástála é Diabetic RetinaScreen	Diabetic Retina Screen is part of the National Screening Service

Saorghlao 1800 45 45 55	Freephone 1800 45 45 55

Is cuid den Rannóg Sláinte agus Folláine i bhFeidhmeannacht na Seirbhíse Sláinte í an tSeirbhís Náisiúnta Scagthástála. Cuimsíonn sí BreastCheck – An Clár Náisiúnta Scagthástála Cíoch, CervicalCheck – An Clár Náisiúnta Scagthástála Ceirbheacs, BowelScreen – An Clár Náisiúnta Scagthástála Putóige agus Diabetic RetinaScreen – An Clár Náisiúnta Scagthástála Reitiní do Dhiaibéitigh. The National Screening Service is part of the Health and Wellbeing Division of the Health Service Executive in Ireland. It encompasses BreastCheck – The National Breast Screening Programme, CervicalCheck – The National Cervical Screening Programme, BowelScreen – The National Bowel Screening Programme and Diabetic RetinaScreen – The National Diabetic Retinal Screening Programme.

Website Design by Webtrade.ie