Have you completed your dental assessment?

To find out if you are eligible to apply, please print out this form and arrange a dental appointment with your child's dentist or dental therapist (NOT a specialist orthodontist). Your child must be 11-16 years of age to apply.

Please note - one of the following conditions must apply:

  1. Your child must have at least one parent/caregiver/guardian who is a Community Services Card holder.
  2. Your child receives an orphan's benefit.
  3. Your child receives an unsupported child's benefit.
All information is kept confidential to the Trust and its professional advisors, and will not be released to outside sources.