Forms

Request a quote or apply for membership

• Membership quote
• Membership application

Additional cover for existing members

• Apply for Run-off Cover incl. ROCS (retirement, maternity leave, deceased)
• Clinical Trial or Research Project
• Healthcare Services Outside of Australia
• Practice Entity Insurance Cover
• Student Placements, Healthcare Activities

Update your membership and practice details

• Billings / Salary amendment
• Ceasing Practice in Australia (temporary or permanent)
• Membership Classification (Practice) change
• Premium Support Scheme (PSS) Application
• Practice Assessment Questionnaire
• Registrar or Dental Training Program
• Return to practice
• Specialist Qualification Obtained
• Update Your Contact Details (incl. name change)

Other

• Cancel Your MIPS Membership
• Claim or Incident Notification
• Duty of Disclosure (retrospective amendment)
• Delegation of Authority
• Direct Debit Request Authority
• Financial Hardship Application
• NSW Department Health Survey
• Online Enquiry

Publications

• Membership Classification Guide
• Member Handbook
• MIPS Constitution

My Membership

• update your details
• download Member Benefit Statement (tax invoices), certificate of currency, risk education attendance
• pay your membership

Other information

• FAQs
• Complaints and Disputes
• Reciprocal Cover
• ROCS Information Sheet
• ROCS Medical Certificate for Permanent disability
• ROCS Medical Certificate for Maternity
• Telehealth FAQ