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:
- PIP Indigenous Health Incentive - practice application form
- PIP Indigenous Health Incentive - practice application form.
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, 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
This information was printed 29 May 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/ip026. 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.