Pulmonary arterial hypertension - Continuing PBS authority application form (PB071)

Use this form for a patient who is continuing PBS subsidised treatment, or changing to an alternate PBS subsidised treatment they are eligible for.

The treating physician from a designated centre must complete this form.

You can also use this form for a patient who is demonstrating a response to their current PBS subsidised treatment.

PBS is the Pharmaceutical Benefits Scheme.

 
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: 27 August 2017