Additional provider number allied health 2025

1. Click ‘Get Form’ to open the additional provider number allied health form in the editor.
2. Begin by filling in your personal details, including your name, date of birth, and gender. Ensure you select the correct health profession category that applies to you.
3. Provide your postal address and contact information. Make sure to indicate whether this address is for application purposes only or for general correspondence.
4. In the registration section, enter your AHPRA or relevant professional body registration number. Attach a copy of your current registration certificate as required.
5. Complete the required location section by providing the physical address where you will render services. If applicable, include details for multiple practice locations on a separate sheet.
6. Review all entered information for accuracy and completeness before submitting. Sign and date the form as necessary.

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