ATMS REJOIN ACCREDITED APPLICATION 

Personal Details

Clinic Details - Full Street Address(es) required *(Post Office Boxes NOT accepted)

*Practitioner’s working from a home clinic are reminded that your clinic must be set up as a professional clinic with a separate entrance and exit entry from the main house as required by health funds.

 

*Medibank ONLY allows 3 Remedial Massage clinic addresses per therapist for Approved Provider Status. If eligible, the first 3 address that you provide will be forwarded to Medibank. All other private health funds accept 4 clinic addresses.

Clinic Phone Number and Email are required by Health funds

Clinic Phone Number and Email are required by Health funds

Clinic Phone Number and Email are required by Health funds

Clinic Phone Number and Email are required by Health funds

Under which Modalities do you wish to be accredited: (members can only be listed for modalities they are qualified and provide qualification/s with their application. All modalities must have stand-alone qualifications)

Heath Funds (Applicable only for modalities eligible for provider registration (i.e. Remedial Massage, Acupuncture and Chinese Herbal Medicine etc.)

Health Fund Declaration Form

Once ATMS approves your application we shall contact you in regards to payment.