Ulcerative colitis - paediatric change or recommencement PBS authority application form (PB246)

Use this form to apply for changing or recommencing PBS subsidised biological agent treatment for a paediatric patient with ulcerative colitis.

Download and complete the Ulcerative colitis - paediatric change or recommencement PBS authority application form.

This form is for patients aged 6 to 17 years.

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: 4 March 2020