Order for PBS/RPBS personalised prescription books for Dental Practitioners form (PB026)

Use this form to order PBS/RPBS personalised prescription books for Dental Practitioners.

We will only accept typed prescription order forms. We will return handwritten, incomplete or poor quality forms to the prescriber.
 

Page last updated: 22 August 2016

This information was printed Monday 26 September 2016 from humanservices.gov.au/health-professionals/forms/pb026 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.