PBS Safety Net stationery order for pharmacies form (PB185)

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

You can now order PBS Safety Net cards through Health Professional Online Services (HPOS) or The Camerons Group portal.

If you can’t order online, use the PBS Safety Net stationery order for pharmacies form.

This form is only available to use until 13 December 2021. You’ll need to order your Safety Net cards online after that.

We only accept this form completed electronically then printed and scanned. We will return handwritten, incomplete or poor quality forms to you.

We’ll no longer send you a PBS Safety Net kit at the end of the year. This means you need to order your 2022 Safety Net cards online from 1 December 2021.

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: 19 July 2021