You can apply for membership of the IMO by downloading the appropriate application form below. Once completed, please send the form to:
Membership Department
Irish Medical Organisation
10 Fitzwilliam Place
Dublin 2
Tel: 01 6767273
Fax: 01 6612758
Should you have any further queries regarding membership please do not hesitate to contact the membership team.
Please send the original form in by post.
Student Application form
- File Type: PDF
- Size: 280.3K bytes
- Document added: 4 December 2018, 16:09
Public Health Doctor Application
- File Type: PDF
- Size: 300.8K bytes
- Document added: 14 March 2023, 14:52
Community Health Application form
- File Type: PDF
- Size: 300.8K bytes
- Document added: 14 March 2023, 14:52
NCHD Application form
- File Type: PDF
- Size: 123.9K bytes
- Document added: 22 August 2018, 08:27
General Practitioner Application form
- File Type: PDF
- Size: 265.3K bytes
- Document added: 14 March 2023, 15:43
Consultant Application form
- File Type: PDF
- Size: 250.0K bytes
- Document added: 14 March 2023, 14:51
SEPA Direct Debit & Mandate Form
- File Type: PDF
- Size: 320.5K bytes
- Document added: 22 August 2018, 08:27
Credit Card Authorisation Form
- File Type: PDF
- Size: 142.4K bytes
- Document added: 22 August 2018, 08:27
GMS Authorisation Principal Partner
- File Type: PDF
- Size: 105.1K bytes
- Document added: 8 December 2022, 11:01
GMS Authorisation From 4-6 Years Post Qualification
- File Type: PDF
- Size: 105.3K bytes
- Document added: 8 December 2022, 11:03