New Client Onboarding

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Complete Your Onboarding Form

Please fill out the form below so we have the correct details about your office for your account.

Office Name *

What are your normal office hours? *

Office Address *

City *

State *

Postal code *

Name of Primary Dentist *

Dentists Email *

Dentists Phone Number *

Name of Front Office Contact *

Front Office Email *

Front Office Main Phone Number *

Is there a dedicated treatment coordinator at the practice? *

Yes

Name of Treatment Coordinator *

Treatment Coordinator Email *

Treatment Coordinator Phone *

Please list all emails that should have login to the portal: *

Please share some set times that we can book consultations for you each week. (Having one morning and one afternoon time is best so we can give patients a couple options) *

We'll also confirm these times with your front office so everyone is on the same page.

Why should patients come to your practice instead of your competition? *

We require a "Free Consult & CT Scan" as a minimum offer to attract implant patients. Please confirm this is OK: *

Yes, I approve

Enter your best offer for any other campaigns in the second field.

Please select your total monthly ad budget. *

Optional: If you're signing up for multiple campaigns, you can specify how you want your ad spend allocated per campaign here:

Note: If you are in a competitive market, we recommend a minimum $2,000+ ad spend for best results. This amount will be billed every 4 weeks starting when your campaigns go live. 100% of this amount is put towards running your ads. Bigger budgets = more results. You can increase/decrease this ad budget for any given month.

How often would you prefer we check-in with you? *

Invite Other Dentists & Get $500/Mo For Each Referral! (optional)

Is there anything that we have not asked about that you believe would be helpful for us to know?