Shannondoc has announced a significant scaling back of services in East, West and North Clare.
The changes are being blamed on a shortage of doctors, and will be introduced in the coming weeks.
The out-of-hours GP service says a shortage of doctors means it's no longer able to maintain existing service levels.
These changes will see the Killaloe clinic now serviced by a mobile doctor during the week, opening on an 'as needs basis.' It will open for just four hours on weekend afternoons, with patients being seen at Limerick, Ennis and Nenagh centres outside these hours.
Shannondoc's Kilrush and Ennistymon services will re-locate to Miltown Malbay during weekdays, and while both centres will be open at weekends, they will close two hours earlier, at 7 each evening instead of 9.
Shannondoc chairman Dr. Pat Morrissey has said the continuing decline in GP numbers in rural areas is a worrying trend, and warns further changes may be enforced in the future unless the matter is addressed.
He added that the more rural the area, the bigger the problem.
A statement on behalf of the service also outlines how four patients per night are seen in Killaloe, and eight patients in total from Monday to Friday in Kilrush and Ennistymon.
