Follow the steps to complete your order book

1. Press the ‘Get Form’ button to access the Prescriber Bag Supplies Order Book online and open it in your editing application.
2. Enter your prescriber full name in the designated field.
3. Provide your prescriber number as required.
4. Indicate your qualifications by selecting the appropriate option (e.g., medical practitioner, nurse practitioner, or other).
5. Fill in your current practice name and address as registered with the Australian Government Department of Human Services, including all required fields: practice name, unit number, level, street number, street address, suburb/town, state, and postcode.
6. Input your daytime phone number in the specified format.
7. Select the order period required by ticking the appropriate option for either the current or future period.
8. If requesting a replacement book, provide a reason and quote the police report number if the previous book was lost or stolen.
9. Choose one option regarding how you obtain PBS supplies to ensure the delivery of the correct order book.
10. Complete the declaration section by confirming that you are a registered medical or nurse practitioner and that all provided information is accurate.
11. Sign and date the form appropriately.
12. Once all fields are completed, ensure your document is typed, review for completeness, and save your changes. You may then choose to download, print, or share the form as necessary.

Complete your Prescriber Bag Supplies Order Book online today!