Commonwealth Numbered Regulations

HEALTH INSURANCE REGULATIONS 2018 (F2018L01365) - SCHEDULE 2

Note:       See sections 81 and 82.

Form 1 -- Application for approval as an organization under Part IV of the Act

HEALTH INSURANCE ACT 1973

APPLICATION FOR APPROVAL AS AN ORGANIZATION UNDER PART IV

To: the Minister for Health.

                ( Name of applicant organization )

of                                              ,

                ( Address of applicant organization )

applies under subsection 40(1) of the Health Insurance Act 1973 for approval as an organization under Part IV of that Act.

Dated this                          day of                             , 20        

( Signature of person authorised to

sign application )

( Position in organization )

Form 2 -- Application for approval of a health service

HEALTH INSURANCE ACT 1973

APPLICATION FOR APPROVAL OF A HEALTH SERVICE

To: the Minister for Health.

      ( Name of applicant organization )

of                                              ,

      ( Address of applicant organization )

being an approved organization within the meaning of Part IV of the Health Insurance Act 1973 , applies under subsection 41(1) of that Act for approval of the health service described in the Schedule, being a health service provided, or to be provided, by the organization.

SCHEDULE

(D escription of health service and address or addresses at which the service is, or is to be, provided .)

Dated this                       day of                             , 20

( Signature of person authorised to

sign application )

( Position in organization )