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.