PIP Indigenous Health Incentive - multiple patient registration and consent form (IP019)

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

This form needs to be completed by a practice or Indigenous health service participating in the Practice Incentives Program (PIP) Indigenous Health Incentive or the Pharmaceutical Benefits Scheme Co-payment Measure.

 
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