Practice Incentives individual general practitioner, nurse practitioner or health professional details form (IP003)

Use this form to register, cease or amend details for a general practitioner, nurse practitioner or health professional with a PIP or WIP – Practice Stream practice.

Download and complete the Practice Incentives Individual general practitioner, nurse practitioner or health professional details form.

PIP is the Practice Incentives Program.

WIP – Practice Stream is the Workforce Incentive Program – Practice Stream.

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: 27 February 2020