Form online 2026

See details

4.2 out of 5

46 votes

The document provides instructions for eligible Allied Health Professionals and non-medical health professionals on how to apply for a prescriber number and/or Medicare provider number online through Health Professional Online Services (HPOS). It outlines the necessary steps to access HPOS via a PRODA account, eligibility criteria for various health professions, required documentation for initial applications, and guidelines for filling out the application form. Additionally, it emphasizes the importance of providing accurate information and the implications of false declarations.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out form online with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by logging into your PRODA account to access HPOS. Ensure you have your credentials ready.
Select 'My Details' from the dashboard, then choose either 'My digital provider number registration (initial)' or 'My provider numbers (subsequent)' based on your needs.
If applying for a subsequent provider number, select 'Create a new provider location' and fill in the required questions accurately.
Complete all sections of the form, including personal details, professional qualifications, and location information. Make sure to provide any necessary documentation as specified.
Review your entries carefully to ensure all required fields are filled out correctly before submitting the form.

Start filling out your form online today for free and streamline your application process!

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where can I fill out forms online for free?

Use docHub eSignature to fill out a PDF form and sign it Sign up for a free docHub account to fill and sign PDFs. Some PDF forms are fillable and some arent.

How to create an online request form?

How to Create a Request Form Define Your Use Case and Requirements. Start Building Your Form. Add and Customize Form Fields. Personalize the Form Design. Set Up Notifications and Approvals. Publish and Share Your Form. Test and Manage Submissions.

What is the online form?

An online form is an electronic application in which data is entered by the person filling it out for recording and further processing via predefined data fields. Such electronic forms can be found, for example, on websites or as attachments in e-mails.

How to make a form fillable online?

To convert a PDF to fillable online, upload your document to docHub. docHub online editor instantly converts any PDF document to a fillable format online. You can fill your PDF with our various tools and features. To fill the form with text, choose the Text button and start typing.