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ADA Private
Dental Registration

National Safety and Quality Primary and Community Healthcare Standards

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Accreditation Against Primary and Community Healthcare Standards for Private Dental Practices
Please note: Only count accreditation cycles completed against the National Safety and Quality Primary and Community Healthcare (Primary and Community Healthcare Standards) Standards. If your practice has previously been accredited against the National Safety and Quality Health Service (NSQHS) Standards and is transitioning to the Primary and Community Healthcare Standards, please select "0 cycles". Important: Desktop Assessment is available for a maximum of two Primary and Community Healthcare Standards accreditation cycles. Practices that have completed two or more Primary and Community Healthcare Standards accreditation cycles must undertake either a Desktop + Virtual Assessment or an Announced On-site Assessment.
IV sedation services include sedation administered within your practice by appropriately qualified clinicians.
Private Dental Practice Details
Prefix
First Name
Last Name
Address Line 1
Address Line 2
City
State
Postcode
Prefix
First Name
Last Name
Assessment

QIP Private Dental Fees

  • Initial Practice Fee for ADA Members: A private practice must have at least one (1) full fee paying ADA Member working at each registered practice site to be eligible to access the discounted ADA Member fee for re-accreditation.
  • Multiple Practice Discount: A discount of 15% will apply when you register more than one practice.
  • Outreach Location: Where dental services are provided at an independent outreach location operating less than 20 hours per month, an additional site certificate fee of $114.40 (inc GST) per site applies.
Review & Submission
Total Fee (inc GST)
A$1,712.70
Total Payable (inc GST & CC Surcharge)
A$1,742.70
Desktop Assessment
1 main site
CC Surcharge: A$30.00

Payment

Practice Details

Practice Name
Trading Name
ABN
Practice Owner
ADA Member
Corporate Group
Street Address
Postal AddressSame as street address
Phone
Email

Assessment

Assessment Type
Additional Practices
Outreach Locations

Authorisation

Terms and Conditions

Confirmation

Use your mouse or finger to draw your signature above
Authorised Representative
Authorised Representative
Registration Submitted!

Thank you — your ADA Private Dental registration has been received. As you've chosen to pay by bank transfer, our team will send you payment instructions separately. A confirmation email will follow shortly.

Reference Number