Dental Implant Consultation Assessment
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Start Your Dental Implant Consultation Intake
Answer a few quick questions so we can organize your implant consultation and connect you with an appropriate licensed provider.
Secure intake • Used only to coordinate your consultation • No spam
Secure intake • Used only to coordinate your consultation • No spam
Your Dental Implant Journey
Transparency: Know what to expect at every step.
Quick Response: We prioritize your questions.
Comprehensive Support: Assistance throughout your journey.
No Sales Pressure: We simply guide, you decide.
Follow-Up Assistance: We're here even after your connections.
Frequently Asked Questions
Clear answers about the intake form, privacy, and what happens next.
Is this a free intake form?
Yes. Completing the intake is free. It helps confirm the basics and coordinate a next step with a licensed dental provider if appropriate.
How long does the intake take?
Most people finish in about 3–5 minutes. If you’re not sure about an answer, you can choose “Not sure” where available and keep going.
Do I need x-rays, records, or a diagnosis to fill this out?
No. If you already have prior records or imaging, it can be helpful, but it’s not required. A licensed provider will advise what’s needed during the consultation.
What happens after I submit the form?
We review your intake for completeness and coordination fit, then help route you toward a consultation step. Any clinical evaluation, diagnosis, and treatment planning happens with a licensed provider.
Will someone call or text me?
If you provide a phone number, we may contact you to confirm details or scheduling preferences. You can request email-only contact in the form when available.
Can I complete the intake for a parent or spouse?
Yes—many families do. Please enter the patient’s information (and your best contact details) so the provider can coordinate appropriately.
I’m not sure if implants are right for me. Should I still fill it out?
Yes. The intake is designed for people exploring options. The consultation with a licensed provider is where you’ll learn what’s clinically appropriate for your case.
Do you provide clinical care or make treatment recommendations?
No. National Implant Network is not a dental clinic and does not provide clinical care. Diagnosis, treatment planning, and clinical decisions remain with the licensed dental provider.
Will I get an exact price from the intake form?
Not from the intake alone. Costs depend on clinical findings, imaging, and treatment plan details. The consultation is where a provider can discuss options and expected costs more accurately.
Do you accept insurance or offer financing?
Insurance and financing options vary by provider. The intake helps surface basics so the provider can discuss coverage, estimated out-of-pocket cost, and financing availability if offered.
Is my information private?
We only collect information needed to support intake and coordination. If you have questions about what’s collected or shared, contact us and we’ll explain the process clearly.
What if I made a mistake or want to update my answers?
No problem. Submit the form with your best information, and if something changes, reply to the confirmation message or contact us to update your details.
What should I have ready before my consultation?
Helpful items include your main goals, any prior dental records or imaging you already have, a list of medications, and key timing or scheduling constraints. If you don't have records, that's okay—your provider will advise what's needed.
How long does the overall process take?
Timing varies by location, provider availability, and clinical needs. Our goal is to reduce back-and-forth by confirming the basics early so the consultation can start on the right foot.
Important: National Implant Network does not provide clinical care or treatment recommendations. Clinical evaluation, diagnosis, and treatment decisions remain with the provider.
