Please review all the steps outline on this page, we have an FAQs section at the end of the page to assist.

Please send the completed forms back to Altura Health and not Medicare directly. This way we can double check the forms have been completed correctly, but also this allows us to check in with Medicare and ensure they have processed your paperwork.

Send your completed documents to Altura Health:
Fax: 02 9632 0096
Email:sales@alturahealth.com.au

TIMEFRAME: Medicare takes approximately 4 weeks to process this paperwork.

Step 1 – Practice Site Certificate Form

Print out form >>
(HW001 – Practice Site Certificate)

Below are some tips to help you complete the form.

1. Site/Organisation Details section – enter your organisation information. The registered name and trading name should be exactly as they appear based on the ABN. If you are a sole trader, then put your name as registered with the ATO. If you rent rooms at a practice, do not put their organisation name.
2. Certificate manager’s details section – you will need to elect someone in your organisation to be the contact person for your Site Certificate application (referred to as the CM – Certificate Manager). This can be a health practitioner, owner, or manager. However, Medicare will only talk with this person when relating to your Site Certificate. If the CM has a provider number, then please specify this in field 7 – ‘Provider Number’. Ensure to specify the ‘Minor Id’ in field 11 – your Altura Health Sales representative can give you this, starting with “ADV0….”
3. Certificate manager EOI – If the CM you nominated has no provider number, they will have to submit additional IDs. See the FAQ below to learn which IDs are acceptable. If the CM has a provider number, indicate it in field 12.
4. Authoriser’s details – This is based on your ABN as registered with the ATO, if the entity:
   
   1. is a sole trader, then the sole trader can complete this section
   2. is a private or public company, a director of the company must complete this section
   3. is a trust, one of the trustees must complete this section. Note: Make sure that you put the Authoriser’s position (director/sole trader/trustee) in field 17. Also note that the Certificate Manager may be the same as the Authoriser. They will just have to sign the form twice.
5. Authoriser EOI – If the Authoriser has no provider number, they will have to submit additional IDs. See the FAQs below to learn which IDs are acceptable. If the Authoriser has a provider number, indicate that in field 14.

Step 2 – Acceptable Referee Identification Form

Print out form >>
(HW004 – Acceptable Referee Identification Form)

Below are some tips to help you complete the form.

1. Applicant’s Details section – this is the Certificate Manager you elected on your Site Certificate Form in step 1 above.
2. In field 3 – ensure to tick the appropriate option:
   
   1. If you are a sole trader or individual tick ‘A Site Certificate as a sole trader’
   2. If you are a business (ie. a Pty Ltd or public company) tick ‘A Site Certificate (non individuals)’
3. Site/Organisation Details section – this is your organisation name. The registered name should be exactly as it appears based on the ABN. If you are a sole trader, then put your name as registered with the ATO. If you rent rooms at a practice, do not put their organisation name.
4. Applicant’s Declaration section – this should be completed by the Certificate Manager, same as in the Applicants Details section above.
5. Referee’s Details section – have someone other than yourself complete this. A list of authorised referees are shown on the left of page 2. It includes doctors, nurses, etc. He must not be someone from the same organization, nor can he be related to the Certificate Manager or the Authoriser.
6. Referee’s Declaration section – have the referee from the above section sign this section

Step 3 – Certified Documents

You will need to provide some evidence, essentially documentation for Medicare to correctly identify you and/or the organisation.

Please review the list below and see which applies to you and your business entity, multiple could apply.

1. If the Certificate Manager has no provider number, provide a copy of his IDs and have it certified by the Referee.
2. If the Authoriser has no provider number, provide a copy of his IDs and have it certified by the Referee.
3. If you trade under a Trust, also provide a certified copy of the First and the Last Page (signature page) of the Trust Deed.
4. For all businesses or sole traders with a trading name, submit one of the following and have it certified by the Referee:
   
   1. A copy of the notice issued by the Registrar of the ABR bearing the business entity’s name, ABN and the Authoriser’s name as the business entity’s Public Officer;OR if unable to provide this
   2. A legal or regulatory document that proves the Authoriser has the capability to commit the business entity and the ABN (For example, a deed of appointment).

Step 4 – Link your practitioners to your new Minor ID

You will also need to link your practitioners to your new Minor ID. Please visit https://alturahealth.com.au/medicarepaperwork-existing-site-certificate/non-hospitals/ to download the required forms.