PIP Indigenous Health Incentive - practice application form (IP026)

Use this form to apply for the Practice Incentives Program (PIP) Indigenous Health Incentive or the PBS Co-payment Measure if you are already registered for the PIP.

Download and complete either the Word or PDF version of the:

Only use this form if your practice or Indigenous health service is already registered for the Practice Incentives Program (PIP).

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 17 February 2020