Order for PBS/RPBS personalised prescription books for Optometrists form (PB028)

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

We will only accept typed prescription order forms. We will return handwritten, incomplete or poor quality forms to the prescriber.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 20 October 2016

This information was printed Sunday 23 October 2016 from humanservices.gov.au/health-professionals/forms/pb028 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.