ACC24 Register as an ACC health provider

Complete this application to register as an ACC health provider. 

What you need to fill out this form

Before you start, please ensure you have the following:

  • a digital copy of your annual practising certificate
  • your work contact details
  • your health provider index number (if known)
  • the vendor ID for the organisation you work for (if applicable)
  • if you're one of the following health providers, decide to be paid hourly or per patient:
    • acupuncturist
    • chiropractor
    • occupational therapist
    • osteopath
    • physiotherapist
    • podiatrist
    • speech-language therapist

When you have all the relevant information, please allow around five minutes to enter it, as the form can’t be saved.

Self-employed or setting up a new practice?

If you’re self-employed or setting up a new practice, you’ll also need an ACC Vendor ID to enable us to pay you for the services you provided. This can be obtained by completing the ACC111 Vendor Registration form. 

ACC111 Register as an ACC vendor

Your privacy

When we collect, use and store information, we comply with the Privacy Act 2020 and the Health Information Privacy Code 2020. For more information read our privacy policy.

Our privacy framework

Complete the form below:

Your details

Address information

Please do not provide a private or confidential address as it may be visible on client records.

Your profession details

I am a...

If you own your practice, please complete the ACC111 form to get a Vendor ID.

If you have just submitted an ACC111 and it is being processed, please enter the organisation's trade name above.

Rate of payment

Send us a copy of you annual practising certificate to: