Services Australia
MS004 — Fill Online
Medicare Enrolment Form
Enrol in Medicare for the first time.
Fill it in your browser, download when you're done.
Filling costs nothing. The completed PDF is $5 per download, or $50/year for unlimited downloads on every tool.
Who needs MS004?
People who are eligible for Medicare and not yet enrolled.
How it works
- 1Open the form. Open MS004 — the official Services Australia PDF is loaded in your browser.
- 2Fill in your details. Click any field and type. Check boxes, drop-downs and dates work like the paper form.
- 3Download the completed PDF. Pay $5 once for the download, or use a yearly membership.
Your details are secure: the form is filled entirely in your browser and nothing you type is uploaded or stored.
Blank form source: Services Australia. PDFUp is not affiliated with or endorsed by any government agency and does not provide legal or tax advice.
Frequently asked questions
MS004
No. The form is filled in your browser and your entries are never uploaded to our servers or saved.