Practice Incentives change of practice details form (IP005)
Use this form to notify us of a Change of practice details for the PIP or the WIP – Practice Stream.
Download and complete the Practice Incentives Change of practice 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: 9 November 2020
This information was printed 17 June 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/ip005. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.