Referral form
Making a referral to Bee Healthy Regional Dental Service
If a child has had an accident and has an injury to their teeth or mouth, please advise the parent to contact a private practice dentist to book a dental exam and register the injury with ACC. Some dentist may charge a ACC co-payment, so they will need to check this when booking. Bee Healthy is not an ACC provider so is unable to provide care for injury-related dental issues.
If the child is in pain, please call 0800 825 583 (0800 TALK TEETH) directly to make a relief of pain appointment.
Please complete the referral form below if you see any of the following on a child's teeth:
- chalky white spots/patches
- yellow, brown or black discolouration
- clearly visible cavities (holes)
- red inflamed gums
- abscess on the gum.