Online claiming provider agreement form (HW027)

Use this form to register for online claiming with us and the Department of Veterans' Affairs.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

We may contact you for security reasons if you’re adding or changing your bank details recorded with us.

It’s quicker to update your bank details online through Health Professional Online Services (HPOS). You’ll be able to check your changes within 24 hours. You don’t need to use a paper form.

You’ll need a PRODA account to access HPOS.

Learn about PRODA (Provider Digital Access) and Managing your banking details.

If you can’t use HPOS download and complete the Online claiming provider agreement form.

Page last updated: 6 December 2024.
QC 20821