Applications

In order to avail of the B.H.O.C facilities you must first complete and sign an Application Form.

For your convenience this Application Form is available for downloading from this website in both Microsoft Office and Adobe pdf format.

Click BHOC Application form for the Microsoft Word format (105Kb)
Click BHOC Application form for the Adobe pdf format 16Kb)

You can download the Adobe Acrobat Reader Software by clicking this logoget_adobe_reader

 

Note regarding completing the Application Form:

Page 1 to be completed by the Individual

Page 2 is a Consent Form which must be brought to your GP to be completed

(signed and stamped indicating that he/she knows of no reason why you should not take part in the treatment)