Application for recognition as a specialist or consultant physician form (HW077)

Use this form to apply for recognition as a specialist or consultant physician so you can provide services to private patients that attract Medicare Benefits at the specialist or consultant physician rates.

Download and complete the Application for recognition as a specialist or consultant physician form.

Use this form if you are a registered medical practitioner and are an Australian citizen, permanent resident, a temporary resident, or a New Zealand citizen.

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.

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: 26 May 2022