Order for PBS or RPBS personalised prescription books for nurse practitioners and midwives form (PB036)

Use this form to order personalised prescription books if you are a nurse practitioner or midwife.

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

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 10 April 2019

Was this page useful?
Why?
Why not?

Thank you for your feedback.