Authority for Authorised Pharmacist(s) to sign claim forms on behalf of Section 91 Permission Holder form (PB138)

As permission holder under section 91 of the National Health Act 1953, you must complete this form to authorise a pharmacist to sign pharmaceutical benefit claim forms and endorse pharmaceutical benefit prescriptions on your behalf.

 

Page last updated: 13 July 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/health-professionals/forms/pb138 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.