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COVID-19 Form

If you have only mild symptoms such as a slight fever, a cough or sore throat, please complete this form below, which is emailed directly to Mercer’s. A clinician will then contact you within 24 hours. 

Is the patient registered with Mercer's Medical Centre?*
Are you/the patient in any of the following categories? *
Symptoms *
Are you currently self-isolating?
Mercer's Medical Centre is part of Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn