Southern District Oral Health Enrolment

Children who meet the eligibility criteria for publicly funded health and disability services are entitled to free oral health care from birth until their 18th birthday.

Complete the form below to enrol your child or to update contact details.

Fields marked with * are required.

Personal details of your child

Start typing your address and select from the available options to populate the Address, Suburb, City and Postcode fields below.
This is a 3 letter, 4 digit number that can be found in your child’s Well Child booklet e.g. ABC1234

Other siblings (0-17 years)

Parent or guardian contact details