Healthcare Identifiers Service - My Health Record system - Application to register a Contracted Service Provider organisation record form (HW012)

Use this form to register a Contracted Service Provider (CSP) organisation and a CSP officer with the Healthcare Identifiers (HI) Service and/or with the My Health Record system.

Page last updated: 19 July 2016

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/forms/hw012 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.