Request for Supply of Non-PBS Pharmaceutical or Medical Supplies Form

Name/Title

Request for Supply of Non-PBS Pharmaceutical or Medical Supplies Form (PDF)

Document ID

TS4KSNFPVEZQ-89-1711

Current from

09/09/2013

Coverage

WACHS

Policy Type

Form

Summary

The provision of Non-PBS Pharmaceuticals or Medical Supplies from a public hospital is not an automatic entitlement for any patient. This application form is completed for consideration by the Regional Medical Director for supply of non-PBS pharmaceuticals or medical supplies.

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