Practice Incentives Change of practice details form (IP005)

Complete this form to notify the Australian Government Department of Human Services if there has been an amalgamation, a change of bank account details, a withdrawal and/or a change of authorised contact person(s) for the Practice Incentives Programme (PIP) and/or the Practice Nurse Incentive Programme (PNIP).

 

Page last updated: 8 July 2016

This information was printed Wednesday 28 September 2016 from humanservices.gov.au/health-professionals/forms/ip005 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.