Growth hormone - recommencement PBS authority application form (PB165)
Use this form for a patient who is recommencing PBS subsidised treatment under the section 100 Growth Hormone Program and has previously received PBS treatment for the same condition.
Download and complete the Growth hormone - recommencement PBS authority application form.
The patient must be treated by either a:
- medical practitioner in consultation with a nominated specialist or consultant physician in paediatric endocrinology
- medical practitioner in consultation with a nominated specialist or consultant physician in general paediatrics.
You can also apply for a growth hormone authority through the Online PBS Authorities system. Access the system through your upgraded clinical or prescribing software, or the Health Professional Online Services (HPOS). Read more about how to access the system for the Growth Hormone Program.
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.
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: 14 October 2020
This information was printed 4 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/pb165. 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.