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Southern Health | He hauora, he kuru pounamu
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Te Whatu Ora Southern
and
WellSouth
primary health network
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Elegibility form - dental client information
Elegibility form - dental client information
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Southern District Oral Health Eligibility Form
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Current
Personal details of your child
Other children
Parent / guardian 1
Parent / guardian 2
Alternative contact details
Comments
Complete
Child's first name
Child's middle name
Child's family name
Child's date of birth
Child's date of birth: Day
Day
1
2
3
4
5
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8
9
10
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13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Child's date of birth: Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Child's date of birth: Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Child's gender
- Select -
Male
Female
Other
Prefer not to disclose
Child's address
Address
Address 2
City / Town
Postal code
Postal address if different from above
Postal address if different from above
Address 2
City / Town
Postal code
Child's ethnicity 1
- Select -
NZ Māori
NZ European
African
Chinese
Cook Island Māori
Fijian
Indian
Latin / Hispanic
Middle Eastern
Niuean
Other Asian
Other European
Other Pacific Island
Samoan
South East Asian
Tongan
Tokelauan
Declined to state
Child's ethnicity 2
- None -
NZ Māori
NZ European
African
Chinese
Cook Island Māori
Fijian
Indian
Latin / Hispanic
Middle Eastern
Niuean
Other Asian
Other European
Other Pacific Island
Samoan
South East Asian
Tongan
Tokelauan
Declined to state
Child's ethnicity 3
- None -
NZ Māori
NZ European
African
Chinese
Cook Island Māori
Fijian
Indian
Latin / Hispanic
Middle Eastern
Niuean
Other Asian
Other European
Other Pacific Island
Samoan
South East Asian
Tongan
Tokelauan
Declined to state
Child's NHI
Well Child Provider
Child's country of birth
- None -
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d’Ivoire
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
North Macedonia
Norway
Oman
Outlying Oceania
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
São Tomé & Príncipe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Residency status - do you / your child have
- None -
NZ citizenship
Permanent residence visa
Residence visa
Work permit valid for 2 years or more
Unsure
Child's School or Preschool
Child's school year level
- Select -
Preschool
Year 0
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Left school
Name of child's doctor / medical practice
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