Healthcare Identifiers Service Application to create or update an individual Healthcare Identifier form (MS003)

Use this form to register for an Individual Healthcare Identifier (IHI) and request an IHI card if you are not eligible for Medicare, or are a visitor to Australia to register for an Individual Healthcare Identifier (IHI) and request an IHI card.

You can also use this form to:

  • merge a pseudonym IHI with your actual IHI, or
  • notify the HI Service that a person has deceased
 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 25 June 2018