Medicare Voluntary Indigenous Identifier

We will ask you if you want to identify when you apply for our payments or services.

You can also identify by filling in the form below. You don’t have to do this. It’s your choice.

The details you give us help to shape government plans and policies and see if the policies are making a difference. Your information will be kept safe. It is protected by privacy rules and laws.

Follow these steps to identify.

  1. complete your details below and print the page, or you can print the page and fill it in by hand
  2. sign the form
  3. send the completed form to:
Indigenous Access Program
Reply Paid 9822
in your capital city
I am of

Please print this page, sign the form and mail it to us.

Page last updated: 19 June 2023.
QC 23276