Request for pay group link form (HW078)

Use this form to request a pay group link so you can have Medicare benefit cheques made payable to another payee associated with the practice or another address.

Download and complete the Request for pay group link form.

Medicare benefit cheques are usually made payable to the provider at their location address.

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: 20 February 2020