Use this form to ask for a review of a decision under subsection 129AAJ(1) of the Health Insurance Act 1973 or section 56D of the Dental Benefits Act 2008.
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 Review of a Medicare Decision form.
This information was printed 28 September 2026 from https://www.servicesaustralia.gov.au/hw051. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.