Application to register or amend a diagnostic imaging or radiation oncology practice form (HW061)

Use this form to register or amend the details of a diagnostic imaging or radiation oncology practice.

Download and complete the Application to register or amend a diagnostic imaging or radiation oncology practice form.

A separate form is required for each practice and must be signed by a proprietor or authorised representative.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

You can upload this form in HPOS.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 20 June 2022