Stoma Appliance Scheme – Peristeen Plus authorisation form
About this resource
Publication date:
Publication type:
Form
Audience:
General public
Language:
English
Australian Government Department of Health, Disability and Ageing
Stoma Appliance Scheme – Peristeen Plus authorisation form
A paediatric colorectal surgeon, paediatrician or paediatric surgeon can sign this form to authorise a patient aged 2 to 17 to order Peristeen Plus from their stoma association. This form needs to be completed annually.