If you wish to make a change to the information you have previously supplied to us, please select the appropriate form from the options listed below.
Where possible, please use the online portal system to submit your form. Alternatively you may email the editable PDF form to firstname.lastname@example.org. If using this method, please download and save the form before filing in your details. It is important to remember to save your form again before submitting to HIQA.
Please note, if a change of an undertaking’s details results in a change to its legal entity, the existing undertaking will need to complete a cessation of undertaking practice form (NF202A) and the new legal entity will need to declare as a new undertaking (NF200).