The Medicare Enrolment Form (MS004) is the official document used by Services Australia to register individuals and families for Medicare benefits. This fillable PDF lets you enrol up to five people at once, making it perfect for households, couples, or small families.
The MS004 form collects personal details, Medicare eligibility information, and any special circumstances such as family or domestic violence considerations. It is required for new applicants, people changing their details, or those adding family members.
Instead of printing, scanning, or using a separate PDF editor, you can fill the form directly on our site. Follow the simple steps below:
Once you have filled and saved the PDF, you can:
For further information on Medicare eligibility, the Medicare Safety Net, or assistance for people affected by family and domestic violence, visit the Services Australia Medicare page.
No. The MS004 form is limited to a maximum of five individuals. If you have more people to enrol, complete an additional MS004 form.
Yes. When you fill the form using Formize, the built‑in electronic signature field meets Services Australia’s requirements.
You’ll need a proof of identity (passport or driver’s licence), proof of residency (utility bill or rental agreement), and any supporting documents for special circumstances such as a domestic‑violence declaration.
Standard processing is 10‑15 business days. If additional information is required, Services Australia will contact you directly.
Absolutely. The Formize PDF Filler lets you save your progress at any time. Simply click **Save Draft** and return later to complete it.
No. Formize provides free access to fillable government PDFs, including the Medicare enrolment form.
Contact Services Australia as soon as possible. They may ask you to submit a corrected form or provide a written amendment.
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