Registration in the eHealth record system is entirely voluntary.

Part 3 of the PCEHR Act provides for consumers, healthcare provider organisations, repository operators, portal operators and contracted service providers to register to participate in the eHealth record system. If a person chooses to register as any of these entities, they must meet eligibility criteria and make an application to the System Operator. The System Operator is not required to register a person or entity if registration would compromise the security or integrity of the eHealth record system.

The System Operator may subsequently decide to cancel, suspend or vary the registration of a person or entity at their request or for a range of other reasons, including in relation to the security and integrity of the system.