Health Professional Councils Authority Logo

Formal Access Information form

This form may be used to apply for formal access to government information held by the Health Professional Councils Authority under the Government Information (Public Access) Act 2009 (GIPA Act). 

Before completing this form, you should read the HPCA’s Agency Information Guide or contact us for further information or assistance in completing the application on 1300 197 177.

(Only required when an applicant is requesting information on their own behalf)

When seeking access to personal information, an applicant must provide proof of identity in the
form of a certified copy of any one of the following documents:

Please describe the information you would like to access in enough detail to allow us to identify it. 

If the information sought is of a kind that would require consultation with a third party (as required under section 54 of the GIPA Act), your name may be disclosed to a third party.

The $30 application fee can be paid to:
Account Name: Health Professional Councils Authority

BSB: 032 000 

Account number: 802 675


When making the payment, please include the following information:
• Your name (Payee)
• GIPA application
• Council name
Please attach your application payment receipt with this for, below.

You may be asked to pay an additional charge for processing the application ($30 / hour). Some applicants may be entitled to a 50% reduction in these processing charges. If you wish to apply for a discount, please indicate the reason

AND / OR

If the information sought is released to you and the HPCA decides that it would be of interest to other members of the public, the information may be publicly released in our disclosure log on our website.

To learn more about right to information in New South Wales, visit the Office of the Information Commissioner website or call on freecall 1800 472 679.