Juvenile idiopathic arthritis for adult patients with onset prior to age 18 continuing PBS authority application form (PB063)

Use this form to apply for continuing PBS subsidised biological agent treatment for an adult patient with onset of juvenille idiopathic arthritis prior to the age of 18.

Download and complete the Juvenile idiopathic arthritis for adult patients with onset prior to age 18 - continuing PBS authority application form.

PBS is the Pharmaceutical Benefits Scheme.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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Page last updated: 31 January 2020