GP Form

Hidden Hearing Referral Form for GPs, ENTs and other professionals.

Hidden Hearing is Ireland’s leading provider of hearing healthcare with a national network of over 85 clinics. Over the past 35 years across Ireland, we have worked hard to develop a reputation for offering world-class hearing healthcare services and lifelong support for our patients. We combine the latest technology with the highest standards in professional training while conducting over 60,000 free hearing tests each year. We offer an array of earwax removal services and our expert team now offers a suite of diagnostic audiology services.

Learn more about our diagnostic services

Enter your patient details below and a member of our team will be in touch shortly.

Patient Name

First Name

Last Name

Mobile number

Don’t have a mobile number? Click here.

Landline number

Don’t have a landline number? Click here.

Date of birth

Name and Address of referrer (GP/ENT or Other): Referring GP Name

GP Address

GP Email

Please indicate how you wish to receive patient report

Email Post

Please select service required:

Please provide any other relevant information

Hidden Hearing can use my contact data to contact me about hearing healthcare by phone, email, and post. Unsubscribe at any time from receiving communication from Hidden Hearing. See full details of our privacy policy