Qualified Privilege Scheme
Applying for a declaration under the Commonwealth Qualified Privilege Scheme
How to apply for a declaration in relation to a quality assurance activity under Part VC of the Health Insurance Act 1973.
A person who wishes to seek a declaration in relation to a quality assurance activity under Part VC of the Health Insurance Act 1973 must do so by completing the approved application form. Applicants are required to provide a range of information including details about the design and expected outcomes of the quality assurance activity. It is essential that this application form be completed in full to ensure comprehensive and accurate assessment of the application against criteria set out in the legislation.
A declaration only relates to the specific quality assurance activity that is the subject of the application. It does not extend to associated or consequential quality assurance activities, these must be the subject of a separate application.
Application for Declaration (PDF 112 KB)
Application for Declaration (Word 316 KB)
When completed and signed, post your application to:
Director
Performance, Safety and Quality Section
MDP 113
Department of Health and Ageing
GPO Box 9848
Canberra ACT 2601
If you require further information or a hardcopy of the application form, please contact us.
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