Medicare enrolment form (MS004)
Use this form to enrol in Medicare for the first time, re-enrol in Medicare or enrol your baby in Medicare.
Download and complete the Medicare enrolment form.
Remember to sign it before you submit it with your supporting documents.
You don’t need to complete this form if you enrol your baby in Medicare when you claim:
If you don’t claim any of these payments, you can enrol your baby in Medicare using your Medicare online account through myGov. This is quicker and easier than completing this form. You can give us all of your baby’s details and proof of birth online. Read more about how to enrol your baby in Medicare.
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, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 16 April 2020
This information was printed 7 July 2020 from https://www.servicesaustralia.gov.au/individuals/forms/ms004. 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.