Growth hormone - continuing as a reclassified patient PBS authority application form (PB164)
Use this form to apply for continuing PBS subsidised treatment with somatropin for a paediatric patient under the Growth Hormone Program, and will be reclassified to a different condition.
Download and complete the Growth hormone - continuing as a reclassified patient PBS authority application form.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
You can upload this form in HPOS.
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Page last updated: 14 October 2020
This information was printed 21 September 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb164. 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.