Prescription Shopping Information Service registration form (PB131)

Use this form to register for the Prescription Shopping Information Service if you are a health professional who was issued a prescriber number by Medicare.

Download and complete thePrescription Shopping Information Service registration 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