Use this form to list the provider number and Location Specific Practice Number (LSPN) of the diagnostic imaging practice applying to perform PET services.
You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.
You can upload this form in HPOS.
Download and complete the Positron emission tomography - statutory declaration.
PET is the Positron Emission Tomography.
This information was printed 30 October 2025 from https://www.servicesaustralia.gov.au/hw064. 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.