Fistulising Crohn’s disease - change, recommencement (treatment break less than 5 years) or demonstration of response authority application form (PB236)

Use this form to apply to change or recommence PBS-subsidised treatment with a biological medicine for complex refractory fistulising Crohn’s disease, where recommencement is after a treatment break less than 5 years.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

You can upload this form in HPOS.

You can also use this form to submit a demonstration of response to the current PBS-subsidised treatment.

‘Biological medicine’ refers to adalimumab, infliximab and ustekinumab.

Download and complete the fistulising Crohn’s disease - change, recommencement (treatment break less than 5 years) or demonstration of response authority application form.

Page last updated: 1 July 2024.
QC 45416