New Patient Forms
New Patient Forms (For Implant Consultations Only)
Tips for filling out the forms: If using a mobile phone, use your finger to sign the form at the end. If using a computer, drag your mouse to sign. At the end of the form, don't forget to hit the submit button after selecting todays date. After you submit the form. you should be redirected back to this page so you can click the links below to fill out the next form. If you have any problems, please let us know.
1. Treatment Application
Click here to fill out our online treatment application, which will allow us to learn more about your dental needs.
2. Medical History
Click here to fill out our online medical history form detailing your current and past health condition.
3. Financial Arrangement
Click here to fill read and agree to our offices various polices.
How we price
We offer our patients a detailed treatment approach and help them with cost-effective payment solutions
Single Tooth Dental
Implants
A single implant(s) can support a crown to replace just one missing tooth, which is significantly more durable and natural than traditional bridges.
Starting at
$95 Per Month.
Multiple Tooth Dental
Implants
Occasionally, a patient is missing more than one tooth but still has healthy gums and surrounding teeth. In this case, two or more implants are placed, and the crowns are attached, leaving the teeth intact.
Starting at
$195 Per Month.
Full Mouth Dental
Implants
Patients who need to replace a full upper and/or lower set of teeth can now opt for full mouth implants. Our oral surgeon will place 4 implants and then attach a full arch of teeth.
Starting at
$300 Per Month.
Have Questions?
Fill out the form and our team will get back to you within 24 hours. For a faster response, open the chat window or call us at the number below.
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Don’t Be a Stranger! Get in Touch
Lynn Haven Dental Specialists is a multispecialty dental center offering dental implants and oral surgery treatments. Our team has over 50 years of experience providing solutions for complex restorations and implant dentistry, ensuring that every step of the process is handled with perfection and care. Proudly serving the communities of Lynn Haven and Panama City.
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