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 can submit your form and supporting documents to us by mail or email to Medicare Enrolment Services. To help us process your request please include Medicare enrolment in the subject line. You don’t need to get your supporting document certified.

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, 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: 18 February 2021