Practice Incentives review of decision form (IP027)

Use this form to request a review of decision for changes in practice payments, changes of practice status - closed or withdrawn, or other review for the PIP or PNIP.

PIP is the Practice Incentives Program.

PNIP is the Practice Nurse Incentives 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: 10 April 2019

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