Aboriginal And Torres Strait Islander Medicare Enrolment And Amendment Form Page 4

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Aboriginal and Torres Strait Islander
Medicare enrolment and amendment form
What can I use this form
Providing the form to Medicare
Your health service or health worker can send the
for?
completed form to Medicare for you.
You can drop it off at any Medicare office.
Send it to Indigenous Access, GPO Box 9822, in
Enrolling in Medicare
your capital city—include all requested documents
with your form.
Fill in sections 1, 2, 3, 4, 6 and 7 (if there are other
people to be included on the card).
If you want to fax the form, call the Aboriginal and
Torres Strait Islander Access and Employment Line
Already enrolled
on 1800 556 955* for your local fax number.
Providing Aboriginal and/or Torres Strait Islander
For more information or help
origin details —fill in sections 1, 3, and 7 (for other
people on the card).
Talk to your local health worker.
Adding another person, for example a child, to your
Call the Aboriginal and Torres Strait Islander Access
Medicare card —fill in sections 1, 3, 4, 6 and 7.
Line on 1800 556 955*.
Requesting a duplicate (extra) Medicare card —fill in
Visit your local Medicare office.
sections 1, 4 and 6.
Go to
Changing your address details —fill in sections 1
and 6.
Changing your name on your Medicare card —fill in
* Call charges may apply.
sections 1, 2, 3 and 6 (and 7 if required).
Requesting a replacement Medicare card —fill in
sections 1, 2, 5 and 6.
Registering for the Medicare Safety Net —fill
sections 1, 6 and 7.

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