Use this form to request and claim payment for the provision of eligible pharmaceutical benefits to an approved AHS.
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the Remote Area Aboriginal Health Services request and claim form.
Make sure you fill out all sections of the form. We’ll return incomplete or poor quality forms without payment.
This information was printed 3 April 2026 from https://www.servicesaustralia.gov.au/pb042. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.