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

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

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

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