Dental appointment request for children

Dental care is FREE for all babies, all children not yet at school and most children and young people under 18 years at School Dental Service clinics. See the dental clinics page to find your School Dental Service clinic.


  1. The purpose of submission of this information is to request contact regarding an appointment for a child.
  2. The information will not be used for any other purpose and will be confidentially disposed of after 3 months.
  3. This form is an embedded third party application and information is managed through the service provider in USA.
  4. Please read SA Health Disclaimer and Privacy notice for further information.



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