Request an Individual Healthcare Identifier form (MS003)
Use this form to register for an Individual Healthcare Identifier (IHI).
If you can’t get one online, download and complete the Request an Individual Healthcare Identifier form.
As part of this application, you’ll need to get certified copies of your evidence of identity.
A translated version may be available in your language.
Read more about Individual Healthcare Identifiers.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
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 use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.
Page last updated: 7 July 2021
This information was printed 24 July 2021 from https://www.servicesaustralia.gov.au/individuals/forms/ms003. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.