Practice Incentives - Individual general practitioner or nurse practitioner details form (IP003)

Use this form to notify us of additional general practitioners or nurse practitioners who join the practice after it has registered for the PIP or the PNIP.

PIP is the Practice Incentives Program.

PNIP is the Practice Nurse Incentive Program.

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

Page last updated: 24 October 2016

This information was printed Monday 5 December 2016 from humanservices.gov.au/health-professionals/forms/ip003 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.