Translated Informed Financial Consent Forms

The Bulk Billing and Non-Bulk Billing Patient Consent Forms have now been translated into 20 community languages.

Page last updated: 09 May 2016

On 23 April 2016, the Australian Government announced its intention to close the Child Dental Benefits Schedule from 1 July 2016. As the legislation was not passed by Parliament before the Government entered into caretaker arrangements on 9 May 2016, the CDBS remains open.

The English version of the Bulk Billing and Non-Bulk Billing Patient Consent Forms can be found on the Child Dental Benefits Schedule page.

To read translated text in this section, you may need to upgrade your operating system, install the latest version of your web browser and PDF viewer or install the relevant fonts.

Arabic


Informed Financial Consent - Bulk Billing Patient Consent Form - Arabic (Word 486 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Arabic (PDF 443 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Arabic (Word 484 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Arabic (PDF 488 KB)

Assyrian


Informed Financial Consent - Bulk Billing Patient Consent Form - Assyrian (Word 977 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Assyrian (PDF 368 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Assyrian (Word 977 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Assyrian (PDF 341 KB)

Burmese


Informed Financial Consent - Bulk Billing Patient Consent Form - Burmese (Word 503 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Burmese (PDF 246 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Burmese (Word 2127 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Burmese (PDF 274 KB)

Chinese Simplified


Informed Financial Consent - Bulk Billing Patient Consent Form - Chinese Simplified (Word 485 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Chinese Simplified (PDF 273 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Chinese Simplified (Word 485 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Chinese Simplified (PDF 316 KB)

Chinese Traditional


Informed Financial Consent - Bulk Billing Patient Consent Form - Chinese Traditional (Word 485 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Chinese Traditional (PDF 285 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Chinese Traditional (Word 485 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Chinese Traditional (PDF 329 KB)

Dinka


Informed Financial Consent - Bulk Billing Patient Consent Form - Dinka (Word 487 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Dinka (PDF 346 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Dinka (Word 487 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Dinka (PDF 389 KB)

Farsi


Informed Financial Consent - Bulk Billing Patient Consent Form - Farsi (Word 487 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Farsi (PDF 345 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Farsi (Word 484 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Farsi (PDF 388 KB)

Greek


Informed Financial Consent - Bulk Billing Patient Consent Form - Greek (Word 489 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Greek (PDF 340 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Greek (Word 487 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Greek (PDF 379 KB)

Hindi


Informed Financial Consent - Bulk Billing Patient Consent Form - Hindi (Word 490 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Hindi (PDF 428 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Hindi (Word 490 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Hindi (PDF 471 KB)

Italian


Informed Financial Consent - Bulk Billing Patient Consent Form - Italian (Word 485 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Italian (PDF 231 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Italian (Word 485 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Italian (PDF 276 KB)

Japanese


Informed Financial Consent - Bulk Billing Patient Consent Form - Japanese (Word 485 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Japanese (PDF 280 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Japanese (Word 485 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Japanese (PDF 360 KB)

Karen


Informed Financial Consent - Bulk Billing Patient Consent Form - Karen (PDF 237 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Karen (PDF 285 KB)

Khmer


Informed Financial Consent - Bulk Billing Patient Consent Form - Khmer (Word 491 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Khmer (PDF 362 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Khmer (Word 489 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Khmer (PDF 401 KB)

Korean


Informed Financial Consent - Bulk Billing Patient Consent Form - Korean (Word 486 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Korean (PDF 290 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Korean (Word 486 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Korean (PDF 332 KB)

Punjabi


Informed Financial Consent - Bulk Billing Patient Consent Form - Punjabi (Word 487 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Punjabi (PDF 389 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Punjabi (Word 488 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Punjabi (PDF 433 KB)

Spanish


Informed Financial Consent - Bulk Billing Patient Consent Form - Spanish (Word 488 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Spanish (PDF 231 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Spanish (Word 487 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Spanish (PDF 270 KB)

Tagalog


Informed Financial Consent - Bulk Billing Patient Consent Form - Tagalog (Word 497 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Tagalog (PDF 232 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Tagalog (Word 494 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Tagalog (PDF 276 KB)

Thai


Informed Financial Consent - Bulk Billing Patient Consent Form - Thai (Word 485 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Thai (PDF 340 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Thai (Word 486 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Thai (PDF 360 KB)

Turkish


Informed Financial Consent - Bulk Billing Patient Consent Form - Turkish (Word 486 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Turkish (PDF 343 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Turkish (Word 486 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Turkish (PDF 386 KB)

Vietnamese


Informed Financial Consent - Bulk Billing Patient Consent Form - Vietnamese (Word 489 KB)
Informed Financial Consent - Bulk Billing Patient Consent Form - Vietnamese (PDF 343 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Vietnamese (Word 487 KB)
Informed Financial Consent - Non-Bulk Billing Patient Consent Form - Vietnamese (PDF 387 KB)