Medical History / Child Treatment Consent Form

Medical History and Consent

The Tooth Angel is please to offer your child a Dental Checkup at your childcare centre and/or school. The form that we ask you to complete prior to treating your child is a Medical History / Child Treatment consent form.

Please read and fill out the form, to enable the Tooth Angel to treat your child. If your child is NOT ELIGIBLE under MEDICARE we will contact you.