Notification of Bank Account Details for Aboriginal Health Services program payments form (PB019)

Use this form if you are registering bank account details for an approved community pharmacy or hospital for Aboriginal Health Services PBS medicine reimbursement payments.

Pharmacies can also use this form to tell us about changes to their bank account details.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 27 August 2017