This form must be completed correctly for you to claim The Child Dental Benefits Schedule (CDBS). To find out if you are eligible, please see our FAQ’s
I, the patient / legal guardian, certify that I have been informed:
Please note: If you do not wish to have any treatments done, please notify the Customer Service department . If a treatment is not required for your child, we will not do the treatment.
9A International Square,
Tullamarine VIC 3043
Call: (03) 9338 1191
Email: Click here