Consent Form

Let’s detect tooth decay and gum disease early to give our children the best possible start to healthy teeth and healthy eating habits.

What happens when I give consent for my child to be seen by Wheel Smiles?

Each child will receive a comprehensive dental examination. This includes a visual inspection of your child’s teeth, jaw, gums and mouth. Following this examination each Family will receive a Dental Report outlining the results of the examination and recommendations as they apply to your child.

Please complete this Consent Form for your child to participate in this dental service and email the form once filled out to hello@wheelsmiles.com