Client Referral

How does it work?

If you or someone you know has experienced domestic violence and are in need of immediate or ongoing dental treatments, please head to one of the listed organisations here or fill out the eligibility below.

Eligibility

Women are eligible for dental treatments and services from the Healing Smiles Program if they have:

Experienced domestic violence in recent years
Been referred to, or previously visited one of our partner case workers
Willingness to participate in dental treatment plans as instructed by registered dentists
Limited or no access to Government Dental Care

Service Providers can make a referral to the Healing Smiles Program if they have:

A patient who has previously experienced domestic violence
A patient who has financial, physical or emotional limitations
The willingness to support patients on their journey through treatments

Client Referral

General enquiry form

Your Organisation Information
Organisation Name*
First Last
Organisation Email*
Your Phone*
The Client Information
Client Name*
First Last
Client Email*
Client Phone*
Please confirm the following:*
- They have been a victim of domestic violence
Away from situation*
- They are away from the abusive relationship/situation
Comments
Please accept the following:*
I confirm that the information above is true and correct

Client Referral

How does it work?

Eligibility

Client Referral

Your Organisation Information

The Client Information

Get Involved