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.
Who can provide consent?
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.
How do I provide consent?
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. Click on one of the links below to see a sample consent form.
Sample consent form
Consent form translations
To help you fill out the English consent form, you can read the consent form in these languages:
Reviewed 31 May 2023