Healthcare Identifiers Service - Application to register a new entity form (HW013)

Use this form to register your entity with the Healthcare Identifiers (HI) Service.

Download and complete the HI Service - application to register a new entity form.

You can also request a National Authentication Service for Health (NASH) Public Key Infrastructure (PKI) Certificate for your entity.

You must read and agree to the terms and conditions of use when applying for a NASH PKI certificate. These are on pages 7 and 8 of this form.

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Page last updated: 1 November 2025.
QC 21726