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 Here to Download BHOC Application Form

Click Here to Download COVID-19 Declaration Form

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


Notes on 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)

Both Forms must be submitted together in order to process new applications

and failure to do so will only delay the application.

Already Existing Clients to Complete the COVID_19 DECLARATION