Practice Incentives Program Procedural General Practitioner Payment application form (IP004)

Use this form to apply for the Procedural General Practitioner Payment if your practice is already registered for the PIP.

Download and complete the Practice Incentives Program Procedural General Practitioner Payment application form.

PIP is the Practice Incentives Program.

Only use this form if your practice is already registered for PIP.

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: 3 March 2022