New Doctor Checklist Page 2
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7Forms to be completed
Details
Copy Received
Date
Yes
No
Provider Number
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☐
application ( Location
Specific)
Additional Provider
☐
☐
Number Application
( Location Specific)
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Prescriber Number
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Payee Provider- Banking
Detail Form
Register for Online Claiming
( For GP’s who have not
☐
☐
used online claiming
before)
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☐
Register for PKI
Application for Recognition
☐
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as a GP ( Not required if GP
has provider number)
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☐
Vocational Registration
Eligibility
☐
☐
ACIR- Register as an
Immunisation provider
☐
☐
ACIR- Bank account details
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ACIR- 46E Agreement
☐
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GPII Incentives report
request
☐
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PIP- Individual provider
form
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SIP- Banking detail form
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☐
90 Day Cheque Agreement
☐
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Health professional Online
Services ( HPOS)
☐
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Register Prescription
Shopping Program
☐
☐
Register National Bowel
Cancer Screening Program
☐
☐
DVA – LMO Application
form
Division of GPs
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☐
Membership Application/
Medicare Local
☐
☐
Workcover payment details
form
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Parent category: Life