HI Service - My Health Record system - Application to Register a Seed Organisation form (HW018)

Use this form to register a Seed Organisation with the Healthcare Identifiers (HI) Service and in the My Health Record system.

If your organisation:

  • is not yet registered in the Healthcare Identifiers (HI) Service, use this form to register for both the HI Service and the My Health record system, or
  • is already registered in the HI Service, use this form to register the Seed Organisation in the My Health Record system

Use the Healthcare organisation type reference guide to help you fill out this form.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 25 September 2017