Order for PBS or RPBS personalised prescription books for optometrists form (PB028)

Use this form to order personalised prescription books if you are an optometrist.

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 PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 14 November 2016

This information was printed Monday 5 December 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.