Dental Consent Forms for Fillings: Boost Patient Loyalty & Double Your Revenue with Membership Plans

August 03, 2025
Topics: Dental
Written by: Lisa Rasmussen

Are You Still Stuck in the “Insurance Shuffle?”

It’s 2025. If your practice is still fighting with insurance companies, wasting hours on denied claims, or watching patients ghost after their first filling—guess what? You’re losing money. Worse, you’re losing future treatment opportunities.

Here’s the punchline:
The average dental practice sees 30–40% of patients walk out the door, never to be seen again after a simple filling. And you know why? Because they’re not emotionally or financially invested in YOU. They came for a filling; they leave for the next Groupon.

But what if every patient who signed a dental consent form for fillings also joined your membership program? What if you could double, triple, even quadruple their lifetime value? Now you’re not just getting paid for the filling—you’re building a predictable revenue engine.


Story: How a “Boring” Consent Form Turned Into a Goldmine

Meet Dr. Jane, a savvy dentist in a mid-sized city. For years, she dreaded doing fillings. The insurance paperwork, no-shows, and one-time visits were killing her profit margins.

One day, she had an epiphany:
“What if my consent forms for fillings became the perfect on-ramp for my practice’s membership plan?” She added a quick line to her digital consent forms:

“Ask about our Dental Membership Plan—save instantly on today’s treatment, plus get exclusive perks all year.”

Result:

  • Enrollment rates skyrocketed.

  • Her filling patients came back 2–4x more often for hygiene and additional treatment.

  • Monthly Recurring Revenue (MRR) exploded—no more stressful cash flow rollercoaster!


Membership = Revenue. Period.

Let’s be real: Insurance is a game of attrition.
Membership is a game of multiplication.

Why membership programs crush it:

Stats to drop at your next staff meeting:

  • 85% of practices with a membership program report increased patient retention.

  • Membership patients average $1,200–$2,400/year in spend, vs. $600 for non-members.

  • Practices using BoomCloud™ have scaled their MRR to $10k–$50k/month, fueling growth and stability.


Stop Selling Fillings, Start Selling Relationships

Imagine you’re the patient: You just came in for a filling. Maybe you haven’t seen a dentist in years (yikes). The old-school process? You sign a consent form, get drilled, pay, and hope the insurance covers it. See ya.

The BoomCloud™ way?
As you’re filling out the dental consent form for fillings (digitally or in person), your team offers, “By the way, if you join our in-house membership plan today, you’ll save on this filling right now—and lock in big savings on all your care, even if you don’t have insurance.”

It’s not about the discount.
It’s about turning a one-off transaction into a recurring relationship.

Case Study: BoomCloud™ Powers Dr. Jane’s $25k MRR

Let’s break down real numbers from Dr. Jane’s practice (names changed to protect the wildly profitable):

Before BoomCloud™:

  • Average patient value: $650/year

  • 22% of patients returned within 18 months

  • Cash flow: Feast or famine, heavily insurance-dependent

After BoomCloud™ (12 months in):

  • 750 active membership patients (at $29/month avg.)

  • Monthly Recurring Revenue (MRR): $21,750
    (750 x $29/month)

  • Annual Recurring Revenue (ARR): $261,000
    (MRR x 12)

  • Membership patient average spend: $1,400/year (2.2x previous)

  • Treatment acceptance: up 39%

  • No-shows: down 48%

  • Less time fighting with insurance. More time for actual dentistry.

Bonus: She cross-promotes whitening, aligners, and hygiene—all with member-only pricing. Now her team loves offering the membership, and patients feel like VIPs.

Moral of the story: Your dental consent forms for fillings are your secret membership marketing weapon!


Bullet List: Turn Consent Into Cashflow

  • ✍️ Digitize your dental consent forms for fillings—use them as a conversion touchpoint.

  • Train your front desk & clinical team to offer membership at the point of care (not just at checkout).

  • Bundle today’s filling discount with future preventive care savings—make the math a no-brainer.

  • Use BoomCloud™ to automate billing, reminders, and membership marketing.

  • Track your MRR, ARR, and membership patient value—watch them soar!

  • Celebrate every membership signup with your team—gamify it!


Big Picture: Why Optimizing Revenue Per Patient = Practice Growth

Stop thinking in “number of patients.” Start thinking Revenue Per Patient (RPP).
The best practices don’t have more patients. They have better, more loyal patients.

Fact:

  • Membership patients spend 2–4x more than pay-per-visit patients.

  • Membership drives word-of-mouth referrals (patients brag about perks!).

  • Your hygienist and treatment coordinator become revenue heroes (no extra chair time required).


Your 3-Step Action Plan (Don’t Just Read—Implement!):

  1. Optimize your dental consent forms for fillings—make “ask about our membership” a default, not an afterthought.

  2. Set up BoomCloud™ to automate signups, billing, and marketing.

  3. Educate your team on why every membership = more revenue, better care, and a happier practice.

Bonus: Download the free Million Dollar Membership Plan eBook and check out the Six-Figure Membership Plan Course for step-by-step templates.


Final Thoughts: Fillings Don’t Have to Be a Dead End

When you transform your dental consent forms for fillings into a membership enrollment point, you’re not just doing another procedure—you’re future-proofing your practice and making dentistry FUN again.

Let’s make your practice the “Netflix of Dentistry”—predictable, profitable, and loved by your patients.


Useful Links & Resources

My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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