Crohn disease Initial paediatric PBS authority application and Supporting information form (PB085)

To be completed by a gastroenterologist or paediatrician. You must lodge this form for a patient aged 6 to 17 years of age starting initial PBS subsidised treatment with infliximab for Crohn disease.

 

Page last updated: 5 February 2016

This information was printed Wednesday 28 September 2016 from humanservices.gov.au/health-professionals/forms/pb085 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.