NHRA

Making Changes To Your Practice Address

This form is used to change your practice address with the AHA if you are currently a member and also can be added to your listing on the NHRA website.

Some health funds require monthly updates of practice locations from the AHA and this will enable us to stay current if you are an AHA member.

Please note: your practice address will be added to the register if you check the "yes" box below.

E-mail Address: *
Suburb *
Postcode *
Name *
Practice Name *
Practice Address - Primary *
Practice Phone *
Primary Address - Secondary (if applicable)
AHA or NHRA Membership Number *
I would like my practice listed on the NHRA register *Yes
No

* Required