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Department of Social Protection

Domiciliary Care Allowance medical report (DCAMed1)

Domiciliary Care Allowance needs a medical report on the child, completed by the GP or the specialist, and sent with the DomCare1 application.

The form itself is Department of Social Protection’s: the official form, on Department of Social Protection’s site (link checked 24 October 2026). Below is what each person fills in, where it goes, and the document we provide beside it.

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Domiciliary Care Allowance medical report (DCAMed1): page one of the PDF

What it asks for

Part 2, completed by the child's GP or specialistThe consultant completes

  • Child's name and date of birth
  • Diagnosis and the condition's effect
  • Care needs beyond a child of the same age
  • Doctor's signature, not in capitals, and address

Where a pervasive developmental disorder appliesThe consultant completes

  • Additional form DomCare 3 from the treating specialist

Where it goes

  • Part 2 of DCAMed1 is addressed to the child's GP or specialist, and the information is reviewed by the department's medical assessors in confidence.
  • The paper application DomCare1 goes with the completed DCAMed1 to Domiciliary Care Allowance, Department of Social Protection, Government Buildings, Ballinalee Road, Longford, N39 E4E0.
  • Where the child has a pervasive developmental disorder such as autism spectrum disorder, the treating specialist may complete the additional form DomCare 3.

Using it well

  • Specialists are named on the form as acceptable signatories; a consultant can complete part 2 directly.
  • Attach the specialist report the family already holds rather than re-dictating it.

Open it in the sample practice

The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.

Sources

Checked against the sources above on 24 October 2026. Issuers change their forms; check the official page before you rely on a detail here.

Questions

Who completes the DCAMed1?

Part 2 is for the child's GP or specialist; the form addresses the doctor directly and says the medical information is reviewed by the department's medical assessors in strictest confidence.

Where is the completed form sent?

With the DomCare1 application to Domiciliary Care Allowance, Department of Social Protection, Government Buildings, Ballinalee Road, Longford, N39 E4E0.

Is there an extra form for autism spectrum disorder?

The form mentions DomCare 3, an additional medical form the treating specialist may complete where the child has a pervasive developmental disorder.

In Ask Brigid this paperwork sits beside the diary and the record: The patient record in Ask Brigid.

Related forms and templates