Order for PBS or RPBS personalised computer prescription forms for medical practitioners form (PB022)

Use this form to order personalised computer prescription forms if you are a medical practitioner.

PBS is the Pharmaceutical Benefits Scheme.

RPBS is the Repatriation Pharmaceutical Benefits Scheme.

We will only accept typed prescription order forms. We will return handwritten, incomplete or poor quality forms to the prescriber.
This form can be uploaded through HPOS. Read more about form upload in HPOS.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 5 December 2016

This information was printed Saturday 10 December 2016 from humanservices.gov.au/health-professionals/forms/pb022 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.