Practice Incentives change of practice ownership form (IP010)

Use this form to notify us if your practice has undergone a change of ownership for the Practice Incentives Program or 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.

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: 13 February 2019

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