Gynaecology Department

General GynaecologyGynaecological Oncology

ColposcopyRobotic Surgery

Open Surgery Laparoscopic Surgery

Radiotherapy & Oncology

Colposcopy Clinic

Mater Private Hospital,

Eccles St, Dublin 7

T: 01 885 8855

F: 01 885 8777

E: colposcopy@materprivate.ie

Mater Private

GYNAECOLOGY SERVICES GYNAECOLOGY DEPARTMENT

INSURANCE COVER COLPOSCOPY CLINIC

Benign Gynaecology

• Abnormal Periods • Post Menopausal

Bleeding• Pelvic Pain • Prolapse• Suspected Fibroids• Suspected Ovarian

Cyst• Vaginal/Vulval Skin

Problem• Uterine Ablation

Gynaecological Oncology

• Ovarian Cancer• Uterine Cancer• Endometrial Cancer• Cervical Cancer• Vulvar Cancer

Robotic Surgery

• Hysterectomy

Colposcopy

• Colposcopy• Cervix Assessment • Biopsy • LLETZ• Laser • Polpectomy • Vaginal/Vulval Skin

Problem• Abnormal Bleeding/

Discharges

Laparoscopy

• Bleeding Clinic• Hysteroscopy• D&C

Day Case procedures 100% cover on the majority of private health insurance plans.

Inpatient procedures Good cover; some shortfalls depending on health insurance plan.

T: 01 885 8855F: 01 885 8777 E: colposcopy@materprivate.ie

If a patient has had smear tests, they should be brought to their appointment or sent with the letter of referral.

Suite 12, 69 Eccles Street, Dublin 7T: 01 885 8323F: 01 850 0109Mr. Bill Boyd

Mater Private Hospital, Eccles Street, Dublin 7T: 087 142 9696

Prof. Donal Brennan

Suite 12, 69 Eccles Street, Dublin 7T: 01 885 8674F: 01 885 8336Mr. Tom Walsh

Suite 6, Mater Private Hospital, Eccles Street, Dublin 7T: 01 793 4601F: 01 793 4602Mr. Ruaidhrí McVey

Colposcopy Clinic - Referral FormColposcopy Clinic, Mater Private Hospital, Eccles St, Dublin 7T: 01 885 8855 | F: 01 885 8777 | E: colposcopy@materprivate.ie

All referrals must have referring cytology smear result attached.Where this is not possible, please ensure patient has a copy and

is advised to bring it to their appointment.

Name:

Address:

Tel:

Fax:

Referring GP signature:

Cervical Check Smear Yes Date Taken: / /

Abnormal Smear Suspicious Cervix Contact or Post Coital Bleeding

Other:

Date of Smear:

Result of Smear:

Cytology Lab Requisition / Accession Number:

Reporting Lab:

Comments:

Name:

Address:

Tel:

Mobile:

Date of Birth:

PPS Number:

Mothers Maiden Name:

No

Consultant:Next Available Dr. Bill Boyd Dr. Tom Walsh

PROCEDURE

REFERRAL INDICATION

PATIENT DETAILSPRACTICE DETAILS

Prof. Donal Brennan Dr. Ruaidhrí McVey

MPH 18657 v5_0217