Medicare enrolment application form (3101)

Use this form to register for Medicare.

From 1 July 2016, Medicare cheques are stopping and all benefits will be paid directly into your nominated bank account. Register your bank account details with us when completing this form to make sure you don’t miss out on receiving your Medicare benefit.

Page last updated: 11 April 2016

This information was printed Saturday 30 April 2016 from humanservices.gov.au/customer/forms/3101 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.