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Dental Practitioners Support

Dental Practitioners regsitered in Australia who sign up will join the Dental Champions Fellowship Program for support and skills to help manage patients with disabilities.

Sign up to support the cause

First Name

Email

Practice Address

Last Name

Phone

Clinician Type

I have managed people with disabilities *

Yes (complete selection below)

No

Disability Categories

Intellectual disability

Acquired brain injury

Person with disability in Aged Care

Complex Medical Condition

Complex Communication Needs

Other (type in answer)

Other disability

I would like to be mentored by a clinician with additional experience: *

Yes

No thanks

I have experience in SND and can act as a mentor *

Yes

No

I would like my name displayed on the day of the event *

Yes please

No thanks

Thank you! We’ll be in touch.

OneOneTwelve

We aim to improve the timeliness of access to and quality of dental services for people with disability into the next decade.

Email: team@oneonetwelve.org

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Last Name

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Elders past, present and emerging. We also acknowledge that these lands were never ceded.
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