The IPU (Individual Patient Use) Application Form is required by hospitals and health‑care providers in Australia when seeking approval to use a medicine on a single patient outside of clinical trials. This form collects detailed clinical information, justification, and safety considerations.
The form is a government‑endorsed document used by the New South Wales Therapeutic Advisory Group (NSW TAG). It ensures that the proposed use of an unapproved or restricted medication is medically justified and that patient safety is protected.
Instead of downloading the PDF and opening it in a separate editor, simply click the "Fill out this form" button on the page. The Formize PDF Filler app will load directly in your browser, letting you complete every field instantly.
Once all sections are completed and reviewed, download the signed PDF and email it to ipu@nswtag.org.au or upload it through the NSW TAG online portal. Keep a copy for your records.
If you prefer to work offline, you can download the official fillable PDF below. The file is hosted by NSW TAG and is fully compatible with Formize.
No. The Formize PDF Filler works in any modern browser, so you can complete the form without installing any programs.
Yes. The filler lets you save a draft on your computer and reopen it later to continue editing.
Contact NSW TAG at ipu@nswtag.org.au immediately. They will guide you on submitting a corrected version.
The IPU Application Form is a NSW TAG standard, but many other states accept the same documentation. Check your local health authority for any additional requirements.
Typical review time is 10‑15 business days after a complete submission, though urgent cases may be expedited.
Yes. Use the "Attachments" section in the filler to upload PDFs, images, or lab reports up to 10 MB each.
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