Maternity Registration Form
The Coombe offers public, semi private and private care, to avail of primary or semi private care please complete the from below. For private care please click here. For information on all the care provided at The Coombe click here.
Supporting Documents
To avail of free public medical healthcare you must provide a copy of Photographic ID plus a copy of one of the following:
A current valid medical card
Utility bill or other proof of address
Work permit or visa
Statement from your employer stating your contract of employment.
Please bring these documents with you to your first Antenatal Appointment.
And can you include that a GP referral for Antenatal Care is not required to Register for Maternity Care.
Documents will be shredded once checked so please do not submit originals.
Please note that failure to comply with the above may result in charges for your care.
All invoices must be paid in full when leaving the hospital.
Please note
If you have pre-existing diabetes (type 1 or type 2) or a history of gestational diabetes in any pregnancy, please ensure to submit your registration form as early as possible and add this information to the comment box in your registration form below. You will require early surveillance in your current pregnancy.
Register Now
Privacy Notice
Please ensure you read and understand our privacy notice before submitting your form.
The General Data Protection Regulation (GDPR) applies to the processing of personal data. The Coombe Hospital is the Data Controller for your personal data. Data we collect and use:
To allow us to provide our services to you, we collect and process various categories of personal data, which may include:
Personal details about you, such as date of birth, email address, address, next of kin, contact details
Notes and reports about your health needs/results of investigations such as x-rays and laboratory tests
Relevant information from other health and social care professionals, your carers or relatives
Your rights:
You have certain legal rights concerning your personal data and the manner in which we process it, which includes:
A right to get access to a copy of your personal data
A right to request us to correct inaccurate information, or update incomplete information
Who do we share your personal data with:
The law stipulates that in certain circumstances personal data (including health information) may be disclosed,
for exam-ple, in the case of infectious diseases or child protection. Also, as part of the birth notification process, your data including medical history will be shared with the General Registrar’s Office (GRO), this notification to the GRO allows for the birth of your baby to be registered by you. We may also disclose your contact details to the HSE and/or the Health Information and Quality Authority (HIQA) for the purposes of inviting you to take part in National Patient Experience Surveys.
Clinical audit:
Clinical data is collected in accordance with GDPR for clinical audit purposes. Your clinical data may be used to monitor and improve our services. Your personal data will be anonymised and you will not be identifiable from these audits.
Clinical research:
The Coombe Hospital is a university teaching hospital, we work closely with Trinity College Dublin (TCD) and University College Dublin (UCD). All research projects are approved by the TCH Research Ethics Committee. Your health records may be accessed or screened by authorised researchers to assess if you are suitable for participation in a research project. If your clinical data is selected for use in research your consent will be required/obtained prior to inclusion in any research.
Notice for women who are holding on to their own chart:
You are responsible for the following:
Keeping your chart safe and secure
Ensuring you have your chart with you each time you attend the hospital
Returning the chart if requested to do so by an authorised staff member of the hospital
If for any reason, during your pregnancy, you are admitted, your chart will be retained by the hospital, it will be returned to you on your next outpatient visit.
See our website for further information contained in our Privacy Statement/Fair Processing /Notice including how to apply to access a copy of your medical records.