Resource
Assisted Registration: Application to Register for a My Health Record
1 of 1
Purpose of this form
This is an application for assisted registration under the My Health
Records Act 2012. Registration for a My Health Record is voluntary.
You can also register free of charge online at www.myhealthrecord.
gov.au, by phoning 1800 723 471, by mail using a different form,
or in a Medicare Service Centre.
Important: You need to read the Essential Information before you
fill out this application....