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SVUH Post COVID CLINIC Referral Form

SVUH Post COVID Clinic Referral Form

The Covid Clinic at St. Vincent's University Hospital aims to provide a multidisciplinary assessment, support, and rehabilitation pathways for those recovering from Covid infection, including both patients who have been discharged from hospital and patients who had milder illness not necessitating hospital admission.
  • Patients Medical Record Number
    If a patient Hospitalized in another Hospital, Please include a discharge summary from admitting hospital.
  • Please include any results of any relevant recent summary letters, investigations, or assessments
  • Accepted file types: jpg, png, pdf, Max. file size: 30 MB.
    The patient who are healthcare workers who have Post COVID Symptoms that also include Anxiety, low mood, grief, Burn out, Post Traumatic stress should be referred to the HSE Employee Assistance programme (EAP)
  • Enter the phone number of Referring Physicians