HI Service - application to amend details of a contracted service provider organisation record form (HW043)

Use this form to add or amend the record of a Contracted Service Provider (CSP) organisation within the Healthcare Identifiers (HI) Service.

Download and complete the HI Service - application to amend details of a contracted service provider organisation record form.

You must ensure that the amendments made to a CSP organisation details do not deem the CSP organisation ineligible for ongoing use of a CSP registration number under the Healthcare Identifiers Act 2010.

Page last updated: 6 December 2024.
QC 21051