Growth Hormone Initial PBS authority application form (PB162)

Use this form for a patient starting initial PBS subsidised treatment with somatropin.

This form must be completed by a specialist or consultant physician in paediatric endocrinology or by a specialist or consultant in general paediatrics in consultation with a nominated specialist or consultant physician in paediatric endocrinology.

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