Severe chronic plaque psoriasis Continuing PBS authority application form (PB113)

This form must be completed by a dermatologist. You must lodge this form for an adult patient who is continuing PBS subsidised treatment, changing to an alternate PBS subsudised treatment or demonstrating a response to the current PBS subsidised treatement.

 

Page last updated: 5 February 2016

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/forms/pb113 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.