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 either the PDF or Word version of the:
PBS is the Pharmaceutical Benefits Scheme.
We require you to keep a copy of the completed form that you submit to us for your records.
We will only accept typed claim forms. We will return handwritten, incomplete or poor quality forms to the pharmacy.