Crohn disease Continuing paediatric PBS authority application Supporting information form (PB161)

You must lodge this form for a patient 6 to 17 years of age, who is continuing TNF alfa treatment with the same TNF alfa antagonist, changing to the alternate TNF alfa treatment for which they are eligible, demonstrating a response prior to treatment cessation. This form is to be completed by a gastroenterologist (code 87), a consultant physician in internal medicine specialising in gastroenterology (code 81), consultant physician in general medicine specialising in gastroenterology (code 82), a paediatrician or a specialist paediatric gastroenterologist.

 

Page last updated: 5 February 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/health-professionals/forms/pb161 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.