Get Indigenous Medicare Factsheet/form

Completing the Indigenous Medicare Factsheet/Form online can significantly streamline your enrolment for Medicare payments and services. This guide provides clear and supportive instructions for successfully navigating each section of the form.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the Indigenous Medicare Factsheet/Form and open it in your editor of choice.
2. Begin with Section 1, where you need to provide applicant or cardholder details. Include your title, first name, second name, family name, gender, date of birth, and details of any previous names. Include your current and previous addresses as well as your daytime phone number.
3. Proceed to Section 2 to prove your identity, if required. In this section, a designated referee must fill out and sign the declaration, confirming that they know you personally and validating your identity without standard identification. Provide the referee's details as needed.
4. For Section 3, indicate if there are other people whose details need to be included or changed on your Medicare card. If applicable, list them in Section 7.
5. In Section 4, specify if you require a duplicate card. This is applicable if you have more than one person on the card.
6. If you are requesting a replacement card, complete Section 5, specifying whether your card was lost, stolen, damaged, or expired.
7. Complete Section 6, which is a declaration confirming all provided information is accurate. Ensure to sign and date this section as it is necessary for all submissions.
8. If needed, fill out Section 7 with the details of other people to be included or changed on the card. Make sure to provide relevant identification details or a referee if they cannot provide standard proof.
9. If this form is for a new enrolment, complete Section 8 regarding the My Health Record. This includes answering questions about whether you want to enrol yourself and any additional individuals in the system.
10. Once all sections are completed, you can save your changes, download a copy, print it, or share it as required. Ensure to follow submission guidelines provided at the end of the form to send it to Medicare.

Take the next step in managing your health by completing the Indigenous Medicare Factsheet/Form online today.