Get Application For High Use Health Card

This guide provides a clear, step-by-step approach to filling out the Application For High Use Health Card online. Designed for ease of use, it aims to support individuals in accurately completing the form to ensure timely access to health entitlements.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing the name and address of your medical or general practitioner. Make sure to fill in the practitioner's details clearly, including their name, card number, address, and phone number.
3. Indicate on whose behalf this application is made by selecting the appropriate title (Mr., Mrs., Ms., Miss, Master) and provide the individual's first and last name, as well as their date of birth.
4. Complete the address section with the unit/flat number, street number, street name, suburb, city/town, and postcode.
5. In this section, you must confirm the patient has had at least 12 consultations for ongoing medical conditions within the past 12 months that are not related to accident claims. Describe the particular ongoing medical condition(s) accurately.
6. Both the medical/general practitioner and the patient or guardian need to sign and date the application. Ensure that the signatures are genuine and the dates are current.
7. Document the record of visits, including the dates, names of health practitioners, and reasons for consultations related to the ongoing medical condition(s). This may require gathering additional information from your health records.
8. After completing the form, review all entries for accuracy and completeness. Then, you can save changes, download, print, or share the filled form as required.

Take action today and complete your Application For High Use Health Card online for enhanced access to health care services.