HI Service - My Health Record system - Application to Register a Seed Organisation form (HW018)

Use this form to register a Seed Organisation with the Healthcare Identifiers (HI) Service and in the My Health Record system.

If your organisation:

  • is not yet registered in the Healthcare Identifiers (HI) Service, use this form to register for both the HI Service and the My Health record system, or
  • is already registered in the HI Service, use this form to register the Seed Organisation in the My Health Record system

Use the Healthcare organisation type reference guide to help you fill out this form.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 20 June 2017

This information was printed Thursday 29 June 2017 from humanservices.gov.au/health-professionals/forms/hw018 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.