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  1. Preferred Provider

Join Our Network

Preferred Provider Application Form

If you wish to make a change to a provider from your practice or register as a new practice then please complete the form.

For a guide on how to complete this form click here.

Please contact providers@tuh.com.au if you experience any issues completing the form or you have other enquiries.

By completing this form, you agree to the TUH Terms and Conditions and declaration in Section 2 linked below.

To view the terms and conditions fro preferred providers click here and for general information click here.

If you'd like to view how we collect and store your information you can view our privacy policy here.

By checking the box, you agree to the TUH terms and conditions and declaration.



I acknowledge that:

  1. I have received, read and agree to comply with the Terms and Conditions governing the TUH Preferred Provider Dental Network. I acknowledge that these Terms and Conditions will apply to the practice and its dentists from the date on which TUH accepts this application;
  2. I understand that by submitting this application form to TUH I am applying for the practice and its dentists to join the TUH Preferred Provider network;
  3. I understand that TUH may accept or reject this application at its sole and absolute discretion;
  4. I understand that I (or another authorised representative of the practice) may withdraw this application at any time before TUH notifies me that it has made a decision about whether to accept or reject it;
  5. All the information I have provided to TUH with or in connection with this application form is true and correct.

 

We know that choosing a health cover partner is a big decision!

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