For the best results, download the form onto your computer and open with Acrobat Reader.
About this resource
Publication date:
Publication type:
Form
Language:
English
Part of a collection:
Australian Government Department of Health, Disability and Ageing
Application for a hospital authority to prescribe and/or supply pharmaceutical benefits and/or highly specialised drugs form
Complete this form to apply for approval to supply PBS medicines under section 94 of the National Health Act 1953.