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. 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: 17 February 2020