Dental Company Info Form Company InfoCompany Name* Website Online Appointment Booking Link Business Address Street Address City State / Province / Region ZIP / Postal Code Business Phone Number*Operating HoursAre the hours on your website current and correct? If so, we will use this Short Description About the Practice*Short Bio of the Practice Owner/ Principal Dentist*Attach your business logo(s) Drop files here or Select files Max. file size: 128 MB. SocialsProvide a link to your social media accounts. If you do not have any of the below, please leave blank. Facebook Instagram LinkedIn YouTube Twitter Company QualitiesList 3-5 things on why a customer should choose you (or what sets you apart from others)Qualities*List any notable certifications, awards & licenses you’d like to mention and attach the icons or logos for the awards/certifications/licenses.**Awards, Licenses & CertificationsMax. file size: 128 MB.Please attach logos/icons here.Notable partners, brands or companies you have worked with or would like to mentionMax. file size: 128 MB.Attach logos/icons here.Practice/Patient ImagesPlease attach images of your practice or staff you would like to include here.Practice/Patient Images Drop files here or Select files Max. file size: 128 MB. TestimonialsList any testimonials below you would like to mention. Alternatively, if you would like us to extract Google Reviews from your Google My Business Listing, please tick the box below.Use Google Reviews Use Google Reviews TestimonialsPromotionThe patient will receive a ‘Refer a Friend’ email 6 months post-treatment. Please list a promotion you would like to offer e.g. $20 off next treatment when you refer a friend.Alternatively, if you DO NOT want to offer a promotion for referrals, please tick box Alternatively, if you DO NOT want to offer a promotion for referrals, please tick box Additional NotesPlease list any further things you would like to exclude or include
