Authority for Authorised Person(s) to sign claim forms on behalf of a hospital authority form (PB142)

Use this form to authorise a person(s) to sign forms on behalf of a hospital authority seeking approval under section 94 or 100 of the National Health Act 1953 to supply pharmaceutical benefits and/or highly specialised drugs, authorise a pharmacist(s) to sign pharmaceutical benefit claim forms and endorse pharmaceutical benefit prescriptions on behalf of a hospital authority, request removal of previously authorised pharmacist(s).

 

Page last updated: 13 July 2016

This information was printed Sunday 25 September 2016 from humanservices.gov.au/health-professionals/forms/pb142 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.