Dental Implant Financing Application
About this free form template

Simplify Dental Implant Financing with Paperform

Dental practices know that cost is often the biggest barrier between patients and the smile they deserve. Dental implants can transform lives, but the upfront investment can feel overwhelming. That's where a professional, streamlined dental implant financing application becomes essential—not just for approving patients faster, but for making the entire process feel reassuring and transparent.

This Paperform template is built specifically for dental practices, oral surgeons, and periodontists who want to offer flexible financing options without drowning in paperwork. It combines treatment plan uploads, insurance verification, multi-tooth pricing calculations, and interest-free period selections into one beautiful, HIPAA-friendly application flow that patients can complete in minutes.

Why dental practices love Paperform for financing applications

Traditional financing forms are clunky PDFs that bounce between email, reception desks, and third-party lenders. Paperform replaces all of that with a secure, on-brand application that can live on your website, treatment planning pages, or be sent directly to patients after consultations.

The form automatically calculates financing totals based on the number of implants, additional procedures, and chosen payment plans—giving patients clarity before they commit. You can embed conditional logic to show interest-free options only for qualifying amounts, display different repayment schedules based on creditworthiness, or route applications to different financing partners depending on the patient's state or insurance carrier.

Because it's built on Paperform, you get:

  • Secure file uploads for treatment plans, X-rays, insurance cards, and proof of income
  • Payment integrations to collect application fees or initial deposits
  • Conditional workflows that adjust financing options based on treatment complexity
  • Automated follow-ups via email confirmations and next-step reminders
  • CRM integration so every application syncs into your practice management system

Built for the real-world needs of dental financing

This template handles the messy details that generic loan forms ignore. It lets patients specify how many implants they need, whether bone grafting or sinus lifts are required, and if they're opting for same-day restorations. Real-time pricing calculations help patients see exactly what they'll owe, broken down by procedure and payment plan.

Insurance verification is built right in. Patients can upload their insurance cards, provide policy details, and answer pre-qualification questions so your billing team can verify coverage before the first appointment. You can even use conditional logic to show financing only for the portion not covered by insurance, making the process feel less like a loan application and more like a treatment plan.

Interest-free period options are clearly presented with eligibility criteria, so patients understand exactly when promotional rates apply and what happens after the promotional period ends. No hidden fees, no confusing jargon—just transparent financing that builds trust.

Automate approvals and keep your team in sync with Stepper

Once a patient submits their financing application, Paperform can hand off the workflow to Stepper, your AI-native automation platform. Stepper can:

  • Route applications to the right financing partner based on loan amount or credit tier
  • Trigger credit checks and insurance verifications automatically
  • Update your practice management software with application status
  • Send approval notifications via SMS and email
  • Schedule follow-up consultations when financing is confirmed

This means your front desk isn't chasing down approvals, your treatment coordinators aren't manually entering data, and patients get faster answers—often within hours instead of days.

Perfect for multi-location practices and DSOs

If you're managing multiple dental offices or part of a dental service organization, Paperform's Agency+ plan lets you create branded financing forms for each location while maintaining central oversight. You can track conversion rates by office, see which financing options patients prefer, and use AI Insights to identify common barriers in the application process.

SOC 2 Type II compliance and data residency controls mean patient financial information is protected to the same standard as clinical records, and SSO and role-based permissions ensure only authorized team members can access sensitive applications.

Who this template is built for

This dental implant financing application is ideal for:

  • Dental practices and oral surgery centers offering in-house or third-party financing
  • Periodontists and implant specialists who need to qualify patients before treatment
  • Treatment coordinators managing financing approvals and insurance verification
  • Dental service organizations standardizing financing across multiple locations
  • Medical billing teams coordinating between insurance, lenders, and patient payments

Whether you're a solo practitioner looking to offer flexible payment plans or a multi-location group streamlining financing approvals, this template helps you replace clunky PDFs with a professional, conversion-optimized application that patients actually want to complete.

Get started in minutes

This template is ready to use right out of the box. Customize the treatment options, adjust financing terms, connect your preferred payment processor or financing partner, and embed the form on your website or send it via secure link. Patients get a smooth, reassuring experience, and your team gets organized, actionable data that moves treatments forward faster.

Paperform is trusted by over 500,000 teams worldwide, SOC 2 Type II and GDPR compliant, and built to handle the complex workflows that dental practices rely on every day. Start offering better financing options today—no coding, no headaches, just happy patients and a healthier bottom line.

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logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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