PBS Safety Net stationery order for pharmacies form (PB185)

Use this form to order your Pharmaceutical Benefits Scheme (PBS) Safety Net cards.

Download and complete the PBS Safety Net stationery order for pharmacies form.

To order PBS Safety Net reply paid envelopes, log on to the ordering portal for PBS stationery on the Camerons Group website to submit your order.

We will only accept typed prescription order forms. We will return handwritten, incomplete or poor quality forms to the prescriber.

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: 2 October 2020