Pb026 2026

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1 out of 5

16258 votes

The document provides instructions for dental practitioners in Australia on how to order personalized prescription books from the Department of Human Services. It emphasizes that only typed forms will be accepted, outlines the necessary details to include, and specifies the submission process. Additionally, it includes a privacy notice regarding the handling of personal information.

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Click ‘Get Form’ to open the pb026 in the editor.
Begin by entering your prescriber full name, prescriber number, and qualifications in the designated fields. Ensure that each entry is typed and does not exceed 50 characters.
Specify the quantity of prescription books required. Remember, each book contains 100 forms.
Fill in your delivery address accurately, including street number, suburb/town, state, and postcode. Avoid using a PO Box unless it is your preferred mailing address.
Indicate if any of your details have changed since your last order by selecting 'Yes' or 'No'. If applicable, provide previous details below.
Complete the declaration section by confirming that all information provided is accurate and authorized. Type your name or the name of the person placing the order.

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Versions	Form popularity	Fillable & printable
2017	1 Satisfied (16258 Votes)

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