Dental: dental report form

Summary:

For dental providers – use this form, when requested by us, to report damage caused to a patient's teeth and mouth as a result of their transport accident, and to propose a treatment plan.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to info@tac.vic.gov.au and include the client's claim number in the subject line.