Prevocational Placement Forms
Click on the links below to download the required forms.
Complete the following documents for ALL Placements - Metro and Rural (excludes Palliative Care)
-
Application for an Initial Medicare Provider Number (submit directly to Medicare) or
-
Application for an Addtional Provider Number (submit directly to Medicare)Privacy Consent and Authority Form*
* if participating in a Composite Post, please complete a separate form for each site (if required)
Complete these additional documents for Rural Placements Only
Palliative Care Placements - Complete the following form only
Privacy Consent and Authority FormYour Practice and/or Hospital Training Post may require you to complete additional forms, please contact the as soon as possible.
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