Practice Information

We're almost at the finish line! In this final section, we'll gather the practical details about your practice. These specifics will enable us to tailor your website to work seamlessly with your day-to-day operations, ensuring a smooth experience for both you and your patients. Let's dive in and complete these last essential steps.

Exact Practice Name: *

Please list the practice name as it appears on signage and storefront.

Primary Website Domain URL: *

Please list your primary website domain (www.YourPractice.com).

Do you have an existing website at that domain? *

Yes
No

Please include any other URL's that your practice owns:

Please list any other domains or websites that YOU OWN that could possibly be associated with the practice (such as: www.IndivdualDoctorsName.com).

Primary Office Email Address *

This is generally the email address used for patient correspondence.

Main Office Telephone Number: *

This would be the public facing (local) telephone number of your practice.

Exact Practice Address (Please Include Suite Numbers if Applicable): *

Address Line 1

Address Line 2

City

State

Zip Code

When Did Your Practice Open (Month & Year)? *

Open Business Hours: *

Please list the hours your business is open.

Languages Spoken Fluently By The Receptionist(s) Answering Your Phones *

Please list any languages spoken at the office.

Doctor(s) Full Names: *

Please list all doctors practicing at this location separated by commas.

What do your patients call the doctors?

Example: Dr. Firstname or Dr. Lastname, Dr. Nickname

How Long Have The Doctors Been in Practice: *

Please list how long each doctor has been practicing.

Please list any dental associations you belong to (AACD, ADA, State Level Associations, etc.):

Has the practice or doctors won any awards? If so, please list them all here.

This could be things like "People's Choice" or "Voted Top Dentist in State by..."

Please provide a patient testimonial you are proud of.

Helpful Hint: Did this interaction change the patient's life? OR what do you think your patients love about you/your practice?

If You Offer Financing Options, Please Explain Your Available Options Here:

Please provide as much detail on 3rd party vendors or in office financing options here.

Major Insurances Accepted (if too many to list, you can send at a later date):

Do you offer any patient specials?

Examples: New Patient Special, % Off Services, Free Whitening, Service-Member Discount, etc

Please include any services you offer not listed above:

What specific brands does your office use? (e.g. Zoom Whitening, Opalescence, Clear Correct, Invisalign, etc.)

Please help us showcase which brands you use that might be recognizable to patients.

What specific technology do you use in office? (e.g. Sirona Same Day Crowns, iTero, etc.)

Please help us showcase any technology that patients would be interested in learning about.

Please list any other specific office software you use at your practice:

Do You Use Any Microsoft Outlook Products for Email?

Microsoft Outlook
Microsoft Outlook 365

Please let us know if you use Microsoft Outlook for office emails as we will need to update some settings within your Outlook.

Are You Currently Marketing for New Patients? *

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