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.

Page last updated: 27 August 2017