Crohn's disease paediatric - change, recommencement or demonstration of response authority application form (PB239)

Use this form to apply to change or recommence PBS-subsidised treatment with a biological medicine for paediatric patients with Crohn’s disease.

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 and infliximab.

Download and complete the Crohn's disease paediatric - change, recommencement or demonstration of response authority application form.

Page last updated: 3 October 2024.
QC 45731