Online claiming for Pharmaceutical Benefits Scheme - application and terms and conditions form (PB010)
Use this form to register for Online Claiming for Pharmaceutical Benefits Scheme (PBS).
Download and complete the Online claiming for Pharmaceutical Benefits Scheme - application and terms and conditions form.
You must complete a separate form and agree to the terms and conditions for each location you require online claiming in.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.
Page last updated: 18 February 2021
This information was printed 29 July 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb010. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.