Dental Request - Request for Prior Approval for Treatment or Referral to a Specialist (D0986)
This form is used to request prior approval from DVA for dental treatment or referral to a specialist before treatment begins.
When do you need this form?
You need this form when you are a DVA beneficiary requiring dental treatment that requires prior approval, such as Schedule B items, services not listed in fee schedules, or referrals to specialists. You must submit this form and receive written approval before any treatment begins.
What you'll need
- Patient details including date of birth
- Provider details of the treating dentist
- Details of the proposed dental treatment or specialist referral
- DVA card information (Gold Card or White Card)
Where to send it
Send the completed form to DVA at health.approval@dva.gov.au by email, or post to Health Approvals & Home Care team, Department of Veterans' Affairs, GPO Box 9998, ADELAIDE SA 5001. Keep a copy for your records.
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