Compliance Audit - Exceptional Circumstances - Statutory Declaration form (MO020)

Under the Health Insurance Act 1973 and the Dental Benefits Act 2008, you have the opportunity to provide details about any circumstances you encounter that are beyond your control which prevent you from substantiating claimed Medicare or Child Dental Benefits Schedule (CDBS) services.

 

Page last updated: 5 February 2016

This information was printed Sunday 2 October 2016 from humanservices.gov.au/health-professionals/forms/mo020 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.