Use this form to register a Contracted Service Provider with the Healthcare Identifiers Service or the My Health Record system.
- HI Service - My Health Record system - application to register a contracted service provider organisation record form
You can also request a National Authentication Service for Health (NASH) Public Key Infrastructure (PKI) Certificate for your organisation.
You must read and agree to the terms and conditions of use when applying for a NASH PKI certificate. These are on pages 10 and 11 of this form.
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