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Assessing an Application to establish list of authorised healthcare provider individuals (10516) (Department of Health form) 012-04050020



This document outlines the processing instructions to establish a list of Authorised Healthcare Provider Individuals (auth links) who are authorised to access the My Health Record provider portal on behalf of a healthcare provider organisation.

Who completes form

This form must be completed and signed by an Organisation Maintenance Officer (OMO) or Responsible Officer (RO) of the healthcare organisation.

My Health Record Provider Participation Register (PPR)