• Children with New Zealand citizenship or appropriate resident status are entitled to free oral health care until their 18th birthday.
    Complete the form below to enrol your child with Bee Healthy Regional Dental Service.

  • Personal details of your child

  • Gender *



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  • Parents or Guardian Contact Details

  • Child's Medical History


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  • Does your child have any medical conditions? *



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  • Consent

    I agree for my child to be enrolled with the Regional Dental Service for dental checkups and receive procedures for the prevention of decay and gum disease including the application of fluoride, preventative coatings/fissure sealants and teeth cleaning.

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  • I agree to the use of dental x-rays for detection of decay and other conditions

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