Order for PBS prescription pads for all eligible prescribers form (PB283)

Use this form to request PBS prescription pads for all eligible prescribers.

Download and complete the Order for PBS prescription pads for all eligible prescribers form.

You can use this form to request PBS prescription pads if you are an eligible prescriber including:

  • Medical practitioners
  • Nurse practitioners
  • Midwives
  • Optometrists
  • Dentists.

This order form must be typed. We will return handwritten, incomplete or poor quality forms to the prescriber.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 6 August 2024.
QC 52456