Request for pay group link form (HW078)

Use this form to request a pay group link so you can have Medicare benefit cheques made payable to another payee associated with the practice or another address.

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.

Download and complete the Request for pay group link form.

Medicare benefit cheques are usually made payable to the provider at their location address.

Page last updated: 6 December 2024.
QC 34001