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

* Required