Fistulising Crohn's disease - initial PBS authority application form (PB092)
Use this form to apply for initial PBS subsidised biological agent treatment for complex refractory fistulising Crohn's Disease.
Download and complete the Fistulising Crohn's disease - initial PBS authority application form.
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Page last updated: 7 December 2020
This information was printed 4 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb092. 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.