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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.

Click here for a guide on how to complete this form.

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 please;

  • Click here if you are part of the TUH preferred provider network
  • Click here for general information for providers (fund rules etc.)
     

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

Healthia

 

 

 

 

 

 

 

 

 

 

 

 

 




I acknowledge that:
a) I have received, read and agree to comply with the Terms and Conditions governing the TUH Preferred
Provider Network. I acknowledge that these Terms and Conditions will apply to the practice and its
providers from the date on which TUH accepts this application;
b) I understand that by submitting this application form to TUH I am applying for the practice and its providers
to join the TUH Preferred Provider network;
c) I understand that TUH may accept or reject this application at its sole and absolute discretion;
d) 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;
e) All the information I have provided to TUH with or in connection with this application form is true and
correct.

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Join our network.

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