Notification of bank account details for Aboriginal Health Services program payments form (PB019)
Use this form if you are registering or updating bank account details for an approved community pharmacy or hospital for Aboriginal Health Services program payments.
Download and complete the Notification of bank account details for Aboriginal Health Services program payments form.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 31 January 2020