Welcome to the health provider tip-off form

Page last updated: 10 January 2022

Completing this form

When completing the form, please remember it doesn't matter how much or how little information you have, every detail is valuable. It should only take a few minutes of your time to complete.

This form allows you to provide information about a health provider, an organisation, or their employees.

Before you start

There are some issues that we cannot help you with. You can report these things to other authorities:

  • Reports about patient safety or harm - submit these to the Australian Health Practitioner Regulation Agency (AHPRA)
  • Rude, racist, inappropriate professional conduct, not listening, dismissive, service quality or interaction issues (also AHPRA)
  • Suspected Medicare, pharmaceutical or Centrelink fraud by a member of the public (not a health provider or their employee) – submit these to Services Australia

COVID-19 related

  • COVID-19 vaccination process and booking queries: COVID-19 vaccines
  • COVID-19 vaccination issues in pharmacies: submit these to the Pharmacy Program Administrator PPA tip-off form
  • COVID-19 vaccination certificate is incorrect: call the Australian Immunisation Register on 1800 653 809
  • Tip-offs about a member of the public (not a health provider) who has a false COVID-19 vaccination certificate or is creating false COVID-19 vaccination certificates for themselves or others: call Services Australia on 13 15 24
  • Tip-offs about the business practices for the sale of Rapid Antigen Tests that may be of concern: call Australian Competition and Consumer Commission on 1300 302 502 or via Report a consumer issue ACCC.

Should you require more information about what can be reported on this form please refer to Health provider related tip-offs page

What has happened
Information that will help us

For example:
Dr John Doe
Family Pharmacy etc

For example:
Practice name/address
Hospital name/address
Pharmacy name/address

For example:
Relevant appointment date(s)
Relevant prescription date(s)

Some examples of what you might see:
Provider number: 123456X
Prescriber number:1234567
ABN: 12 34 56 7985
Pharmacy approval number: 12345X

If you would prefer to include these as photographs, please see the upload button at the bottom of this form.

Your details

Your details (you can remain anonymous; however, providing your details will enable us to contact you if more information is needed. If you do provide us with your contact details, we will not reveal your identity in the course of our enquiries - See our privacy notice below.)

Documents to support your tip-off?

If you have electronic documents you would like to attach to support your tip-off, please upload up to 5 related files here:

If you have hardcopy documents, you can post them to us at Provider Benefits Integrity Tip-Offs, MDP 659, GPO Box 9848, Canberra ACT 2601.

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Please select up to 5 files (Files can be of type doc, docx, xls, xlms, pdf or jpg)
and have a maximum size of 25MB in total for all the files.

Declaration

Privacy Notice

Your personal information is protected by law, including the Privacy Act 1988, and is being collected by the Australian Government Department of Health for the purposes of investigating, assessing and responding to fraud or suspicious activity by health providers against the Australian Government's health related programmes.

You can get more information about the way in which the Department of Health will manage your personal information, including our privacy policy on our privacy notice page.