Seemingly valid Medicare card form (PB136)

Use this form if you are a pharmacist who have previously submitted a PBS or RPBS claim to us which has been rejected based on the patients Medicare card number.

Complete this form for your patient if we found that the Medicare or Repatriation card details were invalid, and they have presented another script and cannot provide an alternative Medicare or Repatriation card details.

 
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/pb136 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: 22 October 2018