Get Cash Pay Patients
Ilekun Health provides you cash-pay patients.

Complete this form and we start sending you cash-pay patients in your zip code at no cost to you for your first few months.

If you have questions, please contact us at hello@ilekunhealth.com.

By submitting this form you agree to our terms and conditions here: shorturl.at/cnGL4.
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Do you accept dental insurance? *
How important is insurance in acquiring patients? *
not important
very important
How important is generating cash pay revenue (bypassing insurance)? *
not important
very important
Do you offer your own in-house insurance alternative? (E.g. Annual or monthly subscription) *
Are you accepting new patients? *
What procedures can you offer fixed prices for? *
Select as many as apply
Required
How soon can patients make appointments? *
Do you offer telehealth appointments? *
Contact info
Provider First name *
Legal name
Provider Last name *
Legal name
Provider Phone *
not practice number
Provider E-mail *
not practice email
Practice Name *
Practice Address *
Practice Phone *
Practice E-mail *
Preferred contact method
Anything else?
Questions and comments  (E.g. challenges finding and retaining patients)
Submit
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