How it works

Upon receipt of your application, you may be called to verify your practice details, or the details of your providers by a HealthLink Registration Team member.

You will be notified by HealthLink once your application is approved.

The process of approval may take three working days.

For updates to your account information, please email request@healthlink.net

Important Note: If you experience a technical issue with this application form, please clear your browser cache and try again.

HealthLink's Terms and Conditions of Use

In order to be provided with either a HealthLink Client (on premise) or HealthLink Portal (cloud) account you must agree to abide by the HealthLink Terms of Use and Master Service Agreement.

Organisation Type*

Do you wish to apply for MyHealthLink Portal to submit SmartForm eReferrals?
HealthLink SmartForms streamline the referral process. You can submit to a range of available service providers across Australia e.g. Monash Health, Transport for NSW, My Aged Care.

Yes No

Service Type

If 'Other' please specify:*

Organisation / Company name*

First name*

Last name*

Email*

Phone*

Software System (if known)

What would you like to use HealthLink for?

Send Electronic Correspondence

HealthLink allows you to send Reports, Discharge Summaries, Letters, and other correspondence from your Patient Information System to other Healthcare Providers, Organisations and Services.

Receive Electronic Correspondence

Use HealthLink to receive electronic correspondence from other organisations, including eReferrals, Diagnostic Reports, eOrders and clinical documents.

Receive Electronic SmartForms

Use HealthLink to receive standardised SmartForms complete with supporting attachments, including eReferrals and eOrders.

Directory Services

Use HealthLink to locate Healthcare Providers, Organisations and Services to send patient information to, electronically.

Comments or additional information*

* I agree on behalf of the Applicant that the Applicant will abide by the HealthLink Terms of Use and Master Service Agreement

Are you using one of the below compatible PMS/EMR systems?*

No / Other

If other please specify

What would you like to use HealthLink for?

Receive Electronic Correspondence

Receive electronic correspondence from other health providers.

SmartForm eReferrals

HealthLink SmartForms streamline the referral process. You can submit to a range of available service providers across Australia e.g. Monash Health, Transport for NSW, My Aged Care.

Sending Electronic Reports

HealthLink allows you to send reports electronically and securely for a monthly fee.

What would you like to use HealthLink for?

Receive Electronic Correspondence

Receive electronic correspondence from other health providers.

SmartForm eReferrals

HealthLink SmartForms streamline the referral process. You can submit to a range of available service providers across Australia e.g. Monash Health, Transport for NSW, My Aged Care.

Sending Electronic Reports

HealthLink allows you to send reports electronically and securely for a monthly fee.

What would you like to use HealthLink for?

Receive Electronic Correspondence

Receive electronic correspondence from other health providers

SmartForm eReferrals

HealthLink SmartForms streamline the referral process. You can submit to a range of available service providers across Australia e.g. Monash Health, Transport for NSW, My Aged Care.

Sending Electronic Reports

HealthLink allows you to send reports electronically and securely using your compatible PMS built-in letter writer and templates.

What would you like to use HealthLink for?

Send Electronic Correspondence

HealthLink allows you to send Reports, Discharge Summaries, Letters, and other correspondence from your Patient Information System to other Healthcare Providers, Organisations and Services.

Receive Electronic Correspondence

Use HealthLink to receive electronic correspondence from other organisations, including eReferrals, Diagnostic Reports, eOrders and clinical documents.

Receive Electronic SmartForms

Use HealthLink to receive standardised SmartForms complete with supporting attachments, including eReferrals and eOrders.

Directory Services

Use HealthLink to locate Healthcare Providers, Organisations and Services to send patient information to, electronically.

What would you like to use HealthLink for?

Send Electronic Correspondence

HealthLink allows you to send Reports, Discharge Summaries, Letters, and other correspondence from your Patient Information System to other Healthcare Providers, Organisations and Services.

Receive Electronic Correspondence

Use HealthLink to receive electronic correspondence from other organisations, including eReferrals, Diagnostic Reports, eOrders and clinical documents.

Receive Electronic SmartForms

Use HealthLink to receive standardised SmartForms complete with supporting attachments, including eReferrals and eOrders.

Directory Services

Use HealthLink to locate Healthcare Providers, Organisations and Services to send patient information to, electronically.

What would you like to use HealthLink for?

Receive Electronic Correspondence

Receive electronic correspondence from other health providers.

SmartForm eReferrals

HealthLink SmartForms streamline the referral process. You can submit to a range of available service providers across Australia e.g. Monash Health, Transport for NSW, My Aged Care.

Sending Electronic Reports

HealthLink allows you to send reports electronically and securely.

Back

Your organisation details

Company name*

Trading name*

Australian business number (optional)

Address*

Apartment, unit, suite, or floor #*

City*

State/Province*

Postal Code*

Country*

Postal address (if different from above)

Apartment, unit, suite, or floor #

City

State/Province

Postal Code

Country

Health provider identifier organisation number (HPI-O)

Phone number*

Fax (optional)

Organisation email*

Back

Authorised representative details

Full name*

Phone number*

Email*

Company position or title*

Comments or additional information

IT Contact

Full name

Phone number

Back

Add providers

Please add the providers you wish to register with your account. If more than 9, please email us at request@healthlink.net with the rest.

Provider 1 details

Title*

First name*

Last name*

Medicare Provider Number (Please enter N/A if you do not have one)*

AHPRA medical registration number (optional)

Specialty (optional)

Provider 1 details

Title*

First name*

Last name*

Medicare Provider Number (Please enter N/A if you do not have one)*

AHPRA medical registration number (optional)

Specialty (optional)

* I agree on behalf of the Applicant that the Applicant will abide by the HealthLink Terms of Use and Master Service Agreement

Back

Please tell us more about your organisation and what you would like to use HealthLink for.

Org*

Department

Software System (if known)

First name*

Last name*

Email*

Phone*

What would you like to use HealthLink for?

Send Electronic Correspondence

HealthLink allows you to send Reports, Discharge Summaries, Letters, and other correspondence from your Patient Information System to other Healthcare Providers, Organisations and Services.

Receive Electronic Correspondence

Use HealthLink to receive electronic correspondence from other organisations, including eReferrals, Diagnostic Reports, eOrders and clinical documents.

Receive Electronic SmartForms

Use HealthLink to receive standardised SmartForms complete with supporting attachments, including eReferrals and eOrders.

Directory Services

Use HealthLink to locate Healthcare Providers, Organisations and Services to send patient information to, electronically.

Comments or additional information*

* I agree on behalf of the Applicant that the Applicant will abide by the HealthLink Terms of Use and Master Service Agreement

Back

Contact the HealthLink Team

Please leave your contact details and we'll be in touch.

Please note that some services may incur a charge

Name*

Org*

Email*

Phone*

Message*

* I agree on behalf of the Applicant that the Applicant will abide by the HealthLink Terms of Use and Master Service Agreement

How it works

HealthLink's Terms and Conditions of Use

What would you like to use HealthLink for?

Send Electronic Correspondence

Receive Electronic Correspondence

Receive Electronic SmartForms

Directory Services

What would you like to use HealthLink for?

Receive Electronic Correspondence

SmartForm eReferrals

Sending Electronic Reports

What would you like to use HealthLink for?

Receive Electronic Correspondence

SmartForm eReferrals

Sending Electronic Reports

What would you like to use HealthLink for?

Receive Electronic Correspondence

SmartForm eReferrals

Sending Electronic Reports

What would you like to use HealthLink for?

Send Electronic Correspondence

Receive Electronic Correspondence

Receive Electronic SmartForms

Directory Services

What would you like to use HealthLink for?

Send Electronic Correspondence

Receive Electronic Correspondence

Receive Electronic SmartForms

Directory Services

What would you like to use HealthLink for?

Receive Electronic Correspondence

SmartForm eReferrals

Sending Electronic Reports

Your organisation details

Authorised representative details

IT Contact

Add providers

What would you like to use HealthLink for?

Send Electronic Correspondence

Receive Electronic Correspondence

Receive Electronic SmartForms

Directory Services

Contact the HealthLink Team

Connecting health providers across Australia