Juvenile idiopathic arthritis - initial PBS authority application form (PB060)

Use this form for a patient younger than 18 starting initial PBS subsidised treatment with a bDMARD for the treatment of severe active juvenile idiopathic arthritis.

A paediatric rheumatologist or a prescriber under the supervision of a paediatric rheumatology treatment centre must complete this form.

bDMARD is a biological Disease Modifying Anti Rheumatic Drug.

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: 13 March 2019

Was this page useful?
Why?
Why not?

Thank you for your feedback.