Get Au Db2-ah 2014-2025

The AU DB2-AH form is essential for assigning benefits to health professionals. This guide provides step-by-step instructions to complete the form accurately and efficiently, ensuring a smooth submission process.

Follow the steps to complete the AU DB2-AH online.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In the section labeled 'First Name', enter the patient's first name. Be sure to spell it correctly.
3. Next, move to the 'Surname' field and provide the patient’s last name.
4. Fill in the 'Patient Ref. No.' if you have one, as it helps in identifying the patient’s record.
5. Enter the patient’s 'Residential Address', ensuring that it is complete and includes necessary details like street, city, and postal code.
6. In the 'Date of Birth' section, enter the date in the format DD / MM / YYYY.
7. Next, provide the 'Date of Service', formatted as DD / MM / YY, indicating when the services were rendered.
8. Enter the 'Item No.' related to the service provided, if applicable.
9. Indicate the 'Description of Service' that was performed for the patient.
10. Fill in the 'Expiry Date', which indicates when the benefit will no longer apply.
11. Include the 'Medicare Number' which is necessary for processing the claim.
12. Enter the 'Referral or Request Date' in the specified format.
13. Provide the name and registration number of the 'Referring or Requesting Practitioner'.
14. Include the name and address of the 'Requesting/Referring Practitioner'.
15. If applicable, in the section for the allied health professional, provide their name, provider/registration number, and address.
16. Finally, ensure the patient signs the form in the designated area. If the patient is unable to sign, this should be noted appropriately.
17. Once all sections are filled out, save your changes, and you can choose to download, print, or share the completed form.

Complete your documentation online now to ensure efficient processing!