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 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.

Page last updated: 13 March 2019