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Maternity Registration Form

Maternity Registration Form

Even if you've had a baby at the Coombe in the past, all maternity patients must fill in a Patient Registration Form. Please return the completed form to us in order to receive your first appointment. Click the word 'more' (below) to download a copy of the form.


Private Health Insurance & Hospital Charges Information

We advise intending patients to check with their health care insurance company before opting for semi-private or private care. The level of cover set out by your insurer is liable to change from time to time. Patients may find that their private health insurance does not cover all the costs they incur whilst in hospital, and will be expected to pay any excess in full.


We operate a direct payment scheme with VHI, Laya Healthcare, Irish Life Health, Garda Medical Aid, ESB, Medical Provident Fund, and Prison Officers Medical Aid. If you are covered by any of these insurers, the relevant insurance forms are signed electronically on your admission to hospital.

Perhaps you have moved house or got married recently and forgotten to update your health insurance details? It's extremely important for you to make sure - before you give birth -  that your name, address and date of birth correspond with the name, address and date of birth your insurer has on their files and your policy.


Patients who request private or semi-private care and accommodation, and who are not covered by private health insurance, will be required to pay a deposit on booking, which will deducted from your final bill.

Hospital Charges 2018

Ultrasound Cost List for Public Patients 2018

Ultrasound Cost List for Private & Semi-Private Patients 2018

Bed Request Form 2018


Page updated November 2018

Coombe Women & Infants University Hospital
Cork St.
Dublin 8.

Tel: +353-1-408 5200
Fax: +353-1-453 6033

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