Dental: maxillo facial report form

Summary:

For dental or maxillofacial providers – use this form, when requested by us, to report damage caused to a patient's jaw or face as a result of their transport accident, and to outline the treatment given.

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.