PIP Indigenous Health Incentive patient registration and consent form (IP017)

Use this form to register an eligible Indigenous patient in the PIP Indigenous Health Incentive or the Pharmaceutical Benefits Scheme (PBS) Co-payment Measure.

A practice or Indigenous health service participating in the Practice Incentives Program (PIP) Indigenous Health Incentive should complete this form.


Page last updated: 24 August 2016

This information was printed Sunday 2 October 2016 from humanservices.gov.au/health-professionals/forms/ip017 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.