Online Assessment

For Compassionate Release of Superannuation

Name(Required)

Phone(Required)

Email(Required)

Date of Birth

Are you in any pain because of your teeth?

Yes

Please be informed, patients without pain from their dental condition do not qualify for Compassionate Release of Superannuation

In your opinion, is your dental condition

Minor

Moderate

Severe

Please be informed, minor conditions are not suitable for a Compassionate Release of Superannuation.

Please provide any further information about your current dental condition that you would like us to know