Severe chronic plaque psoriasis Initial PBS authority application form (PB112)

Use this form for an adult patient who is starting initial PBS subsidised treatement with a biological agent for severe chronic plaque psoriasis.

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