Juvenile idiopathic arthritis for adult patients with onset prior to age 18 - initial PBS authority application form (PB062)

Use this form for an adult patient with a documented history of juvenile idiopathic arthritis with onset prior to age 18 starting initial PBS subsidised treatment with a bDMARD.

A rheumatologist or clinical immunologist with expertise in the management of rheumatoid arthritis 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

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