Register Identifier Number form

A Register Identifier Number (RIN) is a unique number used to authenticate Cervical Screening Test providers who do not have access to a Medicare Provider Number.

The number is used to enable these providers secure access to their patient's cancer screening information via the Healthcare Provider Portal or when calling the Contact Centre.

To access the portal, you will need a PRODA account (an online identity verification and authentication system used to enable secure access to government online services). Please ensure the details you provide in this form match your PRODA details exactly.

Note: It can take up to 4 weeks for a RIN application to be processed.

If you work with a healthcare provider who has a Medicare Provider Number and has already gained access to the Healthcare Provider Portal, you have the alternative option of applying for delegate access.

This form can be used to:

Apply for a Register Identifier Number, either for the first time or for an additional number
Update details if you have an existing Register Identifier Number(s)
Deactivate a Register Identifier Number should you no longer require it.

What would you like to do? *

Request a Register Identifier Number

Given name(s) *

Middle name

Family name *

Existing RIN

If applying for an additional number

Profession

AHPRA number

Health service / medical practice name *

Health service / medical practice street address *

Suburb *

State *

Postcode *

Email *

Health service / medical practice phone number *

Applicant declaration * I request access to information held in the National Cancer Screening Register for the purpose of providing bowel or cervical screening as part of my role.

Our Program Escalation Officer will need to contact you to process this request and will provide confirmation to you when your Register Identification Number has been assigned.

Select your preferred method of contact to confirm this request has been actioned: * Email Phone

Manager approval

I have approval from my manager * Yes

For further information or advice about this process, please contact the NCSR Program Escalation Officer on 1800 627 701.

View the privacy policy

Update details for your existing Register Identifier Number

Given name(s) *

Middle name

Family name *

Existing Register Identifier Number *

Fill in the relevant fields below that you would like updated against your Register Identifier Number:

Profession

AHPRA number

Health Service / Medical Practice *

Health service / medical practice street address *

Suburb *

State *

Postcode *

Health service / medical practice phone number *

Please select your preferred method of contact/notification: * Email Health service / medical practice phone number

Please confirm the details of your preferred contact method: *

For further information or advice about this process, please contact the NCSR Program Escalation Officer on 1800 627 701.

View the privacy policy

Deactivate a Register Identifier Number

Given name(s) *

Middle name

Family name *

Profession

AHPRA number

Date number was assigned *

Date to deactivate access (if known)

If not provided this will be actioned when request is processed

Reason for deactivating (if relevant)

Please select your preferred method of contact/notification: * Email Health service / medical practice phone number

Please confirm the details of your preferred contact method: *

For further information or advice about this process, please contact the NCSR Program Escalation Officer on 1800 627 701.

View the privacy policy

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Register Identifier Number form

This form can be used to:

Request a Register Identifier Number

Manager approval

Update details for your existing Register Identifier Number

Deactivate a Register Identifier Number

Important information

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