How to use our forms
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
You can upload this form in HPOS.
You can also use this form to apply to recommence PBS-subsidised treatment with a biological medicine in a new treatment cycle following a mandatory 12-month break.
Biological medicine refers to:
- benralizumab
- dupilumab
- mepolizumab
- omalizumab.
Please note: You don’t need to complete this form if you use the Online PBS Authorities system.
Download and complete the severe asthma - adolescent and adult - initial or recommencement after 12 months break authority application form.