Veteran Giveback Campaign

Applications Accepted:
Sept. 1, 2021 - May 3, 2022
Winner Chosen: July 4, 2022



Apply Below:

*Name:

Date:

*Patient Status:

Existing Patient New Patient

Date of Last Appointment (For Existing Patients):

Date of Future Appointment (For Patients New to the Practice):

*Email:

*Phone:

*Dates of Service in Military:

*Branch Affiliation:

*How would you like us to receive your photo?

I would like to have my photo taken in the office
I would like to attach a photo of myself

If you selected that you would like to attach a photo of yourself please do so here:

*Testimony: One to two paragraphs about your experience serving our country. Feel free to give as much or as little detail as you wish. We understand that everyone's experience serving their country is unique and we wish to respect that.

By checking the box below you are giving Emerald Coast Dental Spa and Sleep Medicine permission to share your name, testimony and photo on social media. *Note: no other personal information provided will be shared.

I give ECDSPA permission to use my photo, name and testimony.

Please enter code above in the field below.

New Patient Offer
For Sleep Patients
Attend our Virtual Patient Information Appointment and receive $150 Off your In-Office Consultation or Treatment

 

Offer Expires 10/19/2021

Office Hours:

  • Monday 8:00am - 5:00pm
  • Tuesday 8:00am - 5:00pm
  • Wednesday 7:30am - 4:00pm
  • Thursday 7:30am - 4:00pm
  • Friday (every other) 7:30am - 11:00am