The Primary Medical Certificate is issued by the HSE and certifies that a person is a severely disabled and permanently disabled person for the purposes of Disabled Drivers and Disabled Passengers Regulations 1994. 

You must apply to your local HSE centre for an application form for a Primary Medical Certificate.

For your information, if the HSE refuses the application for a Primary Medical Certificate, you can appeal the refusal to the Disabled Drivers Medical Board of Appeal, National Rehabilitation Hospital, Rochestown Avenue, Dun Laoghaire, Co. Dublin.