Translating and Interpreting Service (TIS National)

Profession/Occupation

AHPRA Number

I currently don't have an AHPRA number

Please attach evidence of your current professional registration/membership/certification/accreditation.

Do you provide Medicare-rebatable services? Yes No

Service type Privately owned practice State/Territory government funded health service

Contact officer for application This is the person who is applying for free interpreting on behalf of your organisation. They will be the contact person for this application.

Title

First name

Surname

Email addressIf we need to contact you about your enquiry we will do so via the email address or the phone number you have provided.

Preferred contact numberIf we need to contact you about your application we will contact you via email or this phone number.

Mobile number

Landline number

Organisation's website address

Australian Business Number (ABN)

Registered office/clinic address This is the street address of your provider or agency. Please include the building name, unit number, street number and street name.

Registered office clinic name

Building name

Street address

Suburb

State/Territory

Postcode

Local government area

FIS Allied Health

On this page

Step 1: Allied Health Professional's Details

Step 2: Primary place of provision

Step 3: Review and Submit

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