Juvenile idiopathic arthritis - continuing PBS authority application form (PB061)

Use this form for a patient who is continuing PBS subsidised bDMARD treatment, changing to an alternate treatment, recommencing treatment with the most recent bDMARD or demonstrating a response to the current treatment.

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

bDMARD is the biological Disease Modifying Anti Rheumatic Drug.

 
This form can be uploaded through HPOS. Read more about form upload in HPOS.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
This information was printed Sunday 26 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/pb061 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 13 March 2019