Practice Incentives practice closure or withdrawal form (IP007)

Use this form to tell us you want to withdraw your practice, your practice branch has closed or you would like to withdraw from the PIP or the PNIP.

PIP is the Practice Incentives Program.

PNIP is the Practice Nurse Incentive Program.

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

Page last updated: 14 November 2018