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smile squad

Providing consent for Smile Squad

Once the Smile Squad team has booked a visit to your school, a consent form needs to be completed before students can receive dental care.

The consent forms on this page are samples only – your form must be provided by your child's school.

The form provides parents and carers with information on Smile Squad services and ensures Smile Squad have the information they need to provide individual care.

The Smile Squad team will seek further consent if a student needs follow-up treatment.

Primary school students and most secondary school students will need a parent or carer to provide consent to participate in Smile Squad. Some secondary school aged students may provide their own consent if they are considered a ‘mature minor’.

To be considered a mature minor, the Smile Squad clinician must be satisfied that a student has sufficient understanding of the risks, benefits and possible complications of their condition and proposed treatment to give consent. A student may be considered capable of making some decisions but not others.

Where a secondary school aged student isn't considered to be a mature minor by the dental clinician, they will seek parent or carer consent.

You can talk to your local Smile Squad provider about this in more detail.

Your school will send you a link to the electronic consent form or provide you with a paper form before Smile Squad visits your school. Complete the consent form and return it before the due date to ensure your child receives Smile Squad services at school.

Sample Smile Squad consent form
PDF 1.37 MB
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የፍቃድ መስጫ ቅጽ - Smile Squad consent form (Amharic)
PDF 538.66 KB
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استمارة الإقرار بالموافقة - Smile Squad consent form (Arabic)
PDF 521.09 KB
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သဘောတူညီချက်ပုံစံ - Smile Squad consent form (Burmese)
PDF 658.02 KB
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Thukimna lai - Smile Squad consent form (Chin Tedim - Zomi)
PDF 612.75 KB
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同意书 - Smile Squad consent form (Chinese - Simplified)
PDF 668.13 KB
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同意書 - Smile Squad consent form (Chinese - Traditional)
PDF 707.16 KB
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فرمه رضایت - Smile Squad consent form (Dari)
PDF 500.05 KB
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Form ng pahintulot - Smile Squad consent form (Filipino)
PDF 637.65 KB
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Έντυπο συγκατάθεσης - Smile Squad consent form (Greek)
PDF 694.88 KB
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સંમતિ પત્રક - Smile Squad consent form (Gujarati)
PDF 599.53 KB
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Hnatlakpinak Catlap - Smile Squad consent form (Hakha Chin)
PDF 607.79 KB
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فرمه رضایت - Smile Squad consent form (Hazaragi)
PDF 506.79 KB
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सहमति प्रपत्र - Smile Squad consent form (Hindi)
PDF 614.75 KB
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Modulo per il consenso - Smile Squad consent form (Italian)
PDF 593.96 KB
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လံၥ်တၢ်ပျဲ - Smile Squad consent form (Karen)
PDF 599.64 KB
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ទម្រង់បែបបទយល់ព្រម - Smile Squad consent form (Khmer)
PDF 575.47 KB
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Unka hayyamaa - Smile Squad consent form (Oromo)
PDF 578.57 KB
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رضایت فورمه - Smile Squad consent form (Pashto)
PDF 515.22 KB
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فرم رضایت - Smile Squad consent form (Persian)
PDF 497.73 KB
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ਸਹਿਮਤੀ ਫਾਰਮ - Smile Squad consent form (Punjabi)
PDF 512.28 KB
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Pepa fa'atumu o le maliega - Smile Squad consent form (Samoan)
PDF 566.78 KB
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කැමැත්ත ප්‍රකාශ කිරීමේ පෝරමය - Smile Squad consent form (Sinhalese)
PDF 644.21 KB
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Foomka ogolaanshaha - Smile Squad consent form (Somali)
PDF 579.23 KB
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Formulario de consentimiento - Smile Squad consent form (Spanish)
PDF 578.12 KB
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ஒப்புதல் படிவம் - Smile Squad consent form (Tamil)
PDF 556.65 KB
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ఆమోద పత్రం - Smile Squad consent form (Telugu)
PDF 628.23 KB
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Foomu fakamafai - Smile Squad consent form (Tongan)
PDF 571.12 KB
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Onay formu - Smile Squad consent form (Turkish)
PDF 612.45 KB
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رضا مندی کا فارم - Smile Squad consent form (Urdu)
PDF 513.04 KB
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Giấy ưng thuận - Smile Squad consent form (Vietnamese)
PDF 675.78 KB
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Updated