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For people with a disability

Sign up to get the support you deserve
Disability categories
If you saw a dentist in the past 12 months was it a:
If you have seen a dentist in the past 12 months why did you attend?
I have not seen a dentist because:
Do you need support for decision making?
I would like to talk to the oneonetwelve team before being matched to a dental practitioner:
I would like my name displayed on the day of the event:
To assess your eligibility for this program, please tick all the boxes that are relevant:

Thank you! We’ll be in touch.

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