Medicare enrolment form (MS004)

Use this form to enrol in Medicare for the first time, re-enrol in Medicare or enrol your baby in Medicare.

Complete and return your form

  1. Open the Medicare enrolment form, fill it in, print and sign it.
  2. Submit your form and supporting documents to us. The instructions are on the form.

You don’t need to complete this form if you enrol your baby in Medicare when you claim:

If you don’t claim any of these payments, you can enrol your baby in Medicare using your Medicare online account through myGov. This is quicker and easier than completing this form. You can give us all of your baby’s details and proof of birth online. Read more about how to enrol your baby in Medicare.

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: 19 September 2019