Please click the link below to download the Application for Additional Stoma Supplies PB050.
https://www.humanservices.gov.au/health-professionals/forms/pb050
This form when completed by a Stomal Therapist Nurse (STN) or Medical practitioner, makes provision under the Stoma Appliance Scheme for extra monthly ostomy supplies when the Ostomate has an extenuating stoma condition which has been properly assessed and diagnosed and justifies supplies in excess of the allowed monthly maximum allowances. The member must sign this form on page 3 and tick the ‘Yes’ box.
