Western Australia
Dental Charges Committee Regulations 1973
Reprinted as at 13 July 2001
Guide for using this reprint
What the reprint includes
Endnotes, Compilation table, and Table of provisions that have not come into operation
1.Details about the original regulations are shown in the Compilation table in endnote 1, at the back of the reprint. The table also shows any previous reprint.
2.A table of provisions that have not come into operation, to be found in endnote 1a if it is needed, lists any provisions of the regulations being reprinted that have not come into operation and any amendments that have not come into operation. The full text is set out in another endnote that is referred to in the table.
Notes amongst text (italicised and within square brackets)
Editorial notes show if something has been omitted under the Reprints Act 1984 s. 7(4) (because, although still technically part of the text, it no longer has any effect).
The text of anything omitted can be found in an earlier reprint (if there is one) or the regulations as published.
Reprinted under the Reprints Act 1984 as at 13 July 2001
Western Australia
Dental Charges Committee Regulations 1973
1.Citation1
2.Application for review of account1
3.Determination by Committee1
Schedule2
Notes
Compilation table6
Reprinted under the Reprints Act 1984 as at 13 July 2001
Western Australia
Dental Act 1939
Dental Charges Committee Regulations 1973
1.Citation
These regulations may be cited as the Dental Charges Committee Regulations 1973 1.
2.Application for review of account
A person who wishes to have the Dental Charges Committee review an account for fees or remuneration charged in respect of a dental service shall make application in writing to the Committee in Form 1 in the Schedule and shall forward to the Committee the original of the account received.
3.Determination by Committee
The Committee shall acknowledge receipt of the application referred to in regulation 1 in Form 2 in the Schedule and after making a determination on the account submitted for review shall forward to the applicant a certificate in Form 3 in the Schedule evidencing the amount therein specified as being reasonable in relation to the service therein specified.
Schedule
Form 1
Dental Act 1939
APPLICATION FOR REVIEW OF CHARGES
Dental Charges Committee
16 Rheola Street
WEST PERTH, W.A. 6005
I ........................................................................................................................
Surname (Block letters) Other Names
Post Code .......................
of ..................................................................Telephone .......................
hereby make application for a review by the Dental Charges Committee of the attached account setting out the amount claimed by Mr. ......................................
dentist of ................................................... and for a certificate certifying what is found to be a reasonable charge or remuneration in respect of the dental services to which the account relates.
In support of this request I furnish the following information: —
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(a)Prior to commencing the dental treatment I was informed of the nature of treatment and the proposed charges
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Yes
No
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(b)I was quoted an estimate of proposed charges,
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verbally
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Yes
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No
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in writing
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Yes
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No
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(c)The amount stated in the account received differs from the original quotation.
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Yes
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No
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Nature of difference, if any ..............................
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(d)I have discussed my grievance with the dentist involved............................................................
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Yes
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No
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(e)In support of the request I offer the following additional information:......................................
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Signed: ...............................................................................
Dated:. ................................................................................
Form 2
Dental Act 1939
APPLICATION FOR REVIEW OF CHARGES
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(Name and address of applicant)
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Receipt is acknowledged of an application for review of the account for dental services rendered to you by Mr. ......................... , dentist, of ................................
in respect of (details of service) ................................ on (date) .............................
in the sum of $ .....................................
The matter is under review and you will be advised of the result of your application in early course.
Chairman,
DENTAL CHARGES COMMITTEE.
Form 3
Dental Act 1939
APPLICATION FOR REVIEW OF CHARGES
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(Name and address of applicant)
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The Dental Charges Committee has investigated the account rendered to you by Mr. ........................................ , dentist, of ........................................... in respect of (details of service) ................................. on (date) ...................................... in the sum of $ .......................... and the Committee considers a reasonable amount of fees or remuneration for the dental services received to be $ ..........................
The Committee bases its decision on the following facts:
Chairman,
DENTAL CHARGES COMMITTEE.
