PIP Indigenous Health Incentive - patient registration and consent form (IP017)

Use this form to register an eligible Indigenous patient in the PIP Indigenous Health Incentive or the Pharmaceutical Benefits Scheme (PBS) Co-payment Measure.

A practice or Indigenous health service participating in the Practice Incentives Program (PIP) Indigenous Health Incentive should complete this form.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
This information was printed Friday 24 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/ip017 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 14 November 2018