Application for approval, amendment or renewal of an approved pathology authority form (HW011)

Use this form if you are a pathology authority applying for acceptance as an Approved Pathology Authority under section 23DF of the Health Insurance Act 1973.

Download and complete the Application for approval, amendment or renewal of an approved pathology authority form.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

You can upload this form in HPOS.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 5 February 2024.
QC 21681