Registration forms for online business
| Form | Short description of form |
|---|---|
| PIP eHealth Incentive Registered Medicare Australia Healthcare Professional Individual Certificate application form for PIP eHealth Incentive [PDF, 124Kb]  |
Application form for healthcare professional individuals that are registering for the PIP eHealth Incentive. |
| Revocation/suspension/reinstatement/renewal request form [PDF, 231Kb] |
Revocation/ suspension / reinstatement / renewal requests |
| ARIF (Individual) [PDF, 99Kb] |
Acceptable referee identification form for individual certificates |
| ARIF (Location - sole trader) [PDF, 115Kb] |
Acceptable referee identification form for site certificates held by sole traders |
| ARIF (Location - other) [PDF, 183Kb] |
Acceptable referee identification form for site certificates held by non-individuals, such as companies, trusts, partnerships |
| Application form for non-known Medicare Australia Healthcare Professional Individual Certificate [PDF, 156Kb] |
Application form for healthcare professional individuals that have not previously registered with Medicare Australia |
| Application form for non-known Medicare Australia Communities of Interest Site Certificate [PDF, 231Kb] |
Application form for sites that have not previously registered with Medicare Australia |
| Medicare Australia Community of Interest Registered Site Certificate application form [PDF, 231Kb] |
Application form for sites that have previously registered with Medicare Australia |
| Medicare Australia Healthcare Professional Individual Certificate application form [PDF, 156Kb] |
Application form for healthcare professional individuals that have previously registered with Medicare Australia |
| Hospital/Day Procedure Centre (DPC) registration for In Hospital Claiming (IHC) [PDF, 121Kb] |
Application for Hospitals and Day Procedure centres to register for In Hospital Claiming via ECLIPSE |
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Last updated: 20 March, 2009