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.

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 documents certified.

Some people can also enrol online using their myGov account. Read more about enrolling in Medicare online.

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 online. This is quicker and easier than completing this form.

If your myGov account is linked to Medicare, sign in now to enrol your baby in Medicare.

Sign in to myGov

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.

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 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: 1 July 2024.
QC 41961