Is your child eligible for the Medicare Child Dental Benefits Scheme? To check if your child is eligible for the $1,095 Medicare Child Dental Benefits Scheme (CDBS), please call Medicare on 13 20 11.Alternatively, please enter the fields below. We will normally reply within 24 hours. Medicare Card Number (10 digits) & Reference Number(s) of your child or children:*Your Contact Details* Please complete all the required fields below. Your Title:*- Select Title -MasterMissMsMrsMrDrOther Given Name: * Family Name: * Address: How would you like us to contact you?*PhoneMobileEmail Phone: * Mobile: * Would you like the completed form emailed to you?*YesNo Email to contact you:* Email to contact you and send a copy of the completed form: *To answer your question, we need at least one: phone, mobile, or email. Preferred time(s) to be contacted:MorningAfternoonEveningOther Other time to be contacted: * You are: An existing patientA new patient As a new patient, you first found us by:Street signagePrint MediaSocial MediaGoogle searchOther search engineFamily or friend We would love to personally thank all of our referring patients!To upload any documents relevant to your booking request (eg. x-rays, photos, medical history), click "Choose Files" below: To upload any documents relevant to your booking request (eg. x-rays, photos, medical history), click "Choose Files" below:To SUBMIT this form, please provide least one: phone, mobile or email.SubmitClear Form
