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. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 20 February 2020