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

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This page contains, a link to the form and a checklist that can be used when registering a Network Organisation in the My Health Record system.

Forms

For a link to the Application to register Network Organisation in the My Health Record system see under Access > Get access via the provider portal on the Australian Digital Health Agency website, Healthcare Organisation registration

Checklist

Use 'Save As' workaround to download/use attachment.

A linked attachment is availableChecklist - Application to establish authorised healthcare provider individuals (auth links)