Application for recognition as a specialist or consultant physician form (HW077)

Use this form to apply for recognition as a specialist or consultant physician so you can provide services to private patients that attract Medicare Benefits at the specialist or consultant physician rates.

Download and complete the Application for recognition as a specialist or consultant physician form.

Use this form if you are a registered medical practitioner and are an Australian citizen, permanent resident, a temporary resident, or a New Zealand citizen.

You can fill in this form and sign it digitally. You can do this by downloading it on a computer or a device that has Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader you can print it and sign it by hand.

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 contact us. We can help you access, complete and submit them.

Page last updated: 19 November 2020