Request to amend Location Specific Practice Number When to use this form Location Specific Practice Number details Complete this form to amend a practice site s Location Specific Practice Number (LSPN).

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How to fill out the Lspn Amendment Form online

Filling out the Lspn Amendment Form online is essential for updating location-specific practice number registration details. This guide provides a clear, step-by-step process to help users navigate the form effectively, ensuring compliance with the necessary requirements.

Follow the steps to complete the Lspn Amendment Form accurately.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin filling out your Location Specific Practice Number (LSPN). Indicate the actions you would like to take by ticking all applicable boxes such as nominating a new authorised representative or amending business details.
  3. Complete the authorised representative details section by providing the full name, contact information, and position held. This step is necessary for partnerships, companies, and governmental bodies.
  4. Fill in the business details, including the registered business name and Australian Business Number (ABN). Make sure to check the nature of your proprietorship, identifying whether it is individual, partnership, company, or governmental agency.
  5. Provide specific details regarding the practice site, including the practice address and contact numbers. Ensure accurate and complete information to avoid registration issues.
  6. List any equipment associated with the practice by completing the equipment details section. Ensure to provide the type, model, serial number, and operational status of each piece of equipment.
  7. Confirm details for any additional equipment by following the appropriate prompts. If there are more units than space allows, photocopy the relevant pages and attach them.
  8. Sign the declaration confirming that the information provided is correct and that you have authority to submit the form. Date your signature for validation.
  9. Review the entire form for completeness and accuracy before submission. Ensure all fields are filled as required.
  10. After completing the form, save your changes, download it for your records, print a copy, or share it as needed.

Complete your documents online today to maintain your practice’s registration compliance.

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How do I update my Lspn?

Renewing your registration Select My details, then My Organisations. Select Renew for the LSPN you want to renew. Review the Organisation Summary details. Select Renew if the details are correct or No if you need to make changes.

View your LSPN in HPOS. Select Manage for the LSPN number you want to update. Select the Equipment Details tab. This shows the equipment currently listed at the LSPN. Select Download to download a PDF of the equipment currently listed at the LSPN.

What is a Location Specific Practice Number? A Location Specific Practice Number (LSPN) is used by Services Australia to uniquely identify practice sites that provide diagnostic imaging and/or radiation oncology services.

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