Request or merge a pseudonym Individual Healthcare Identifier record form (MS005)

Use this form if you want to create a pseudonym Individual Healthcare Identifier (IHI) if you consider yourself vulnerable or at risk.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Request or merge a pseudonym Individual Healthcare Identifier record form.

You must already have a verified Individual Healthcare Identifier (IHI) record to be eligible for a pseudonym IHI.

You cannot claim Medicare or pharmaceutical benefits using a pseudonym IHI.

Page last updated: 6 December 2025.
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