Application for an additional location provider number for an Allied Health Professional form (HW020)

Complete this form if you are an Allied Health Professional to request a provider number for an additional location or to re-open a closed location.

Page last updated: 30 September 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/health-professionals/forms/hw020 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.