Client Starter

THANK YOU FOR TAKING THE TIME TO FILL OUT OUR CLIENT STARTER.
THIS ALLOWS US TO HAVE HAVE ACCURATE AND CONSISTENT INFORMATION AROUND YOUR PROJECT.

Instructions:

  1. MAKE SURE THAT THE INFORMATION IN THE FORM APPEARS EXACTLY AS YOU WOULD LIKE IT TO APPEAR ON YOUR PROJECT (WEBSITE, GOOGLE LISTING, DIGITAL ADS, ETC).
  2. IF YOUR PRACTICE HAS MULTIPLE LOCATIONS, FILL OUT THE FORM COMPLETELY FOR EACH LOCATION.

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1. Locations
2. Doctors
3. Insurance
4. Services
5. Technology

Practice Name

The name of this location.

Location

Office Hours

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Doctor

This information will be used to help us write your bio. Feel free to be as detailed as you like.
Please include 3-5 bullet points about your professional and educational career.
Please include 3-5 bullet points about your personal life.

Doctor 2

This information will be used to help us write your bio. Feel free to be as detailed as you like.
Please include 3-5 bullet points about your professional and educational career.
Please include 3-5 bullet points about your personal life.
+ Add A Third Doctor

Doctor 3

This information will be used to help us write your bio. Feel free to be as detailed as you like.
Please include 3-5 bullet points about your professional and educational career.
Please include 3-5 bullet points about your personal life.
+ Add A Fourth Doctor

Doctor 4

This information will be used to help us write your bio. Feel free to be as detailed as you like.
Please include 3-5 bullet points about your professional and educational career.
Please include 3-5 bullet points about your personal life.

Insurance

If your practice is in-network with any insurances, please include a list here.

Services Provided

General

Sedation

Implants

Cosmetic

Surgical

Orthodontic

Periodontal

Other

Do you offer Complimentary consultations?

Additional Services & Comments

Office Technology

Additional Technologies

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S8E8 Studio EightyEight

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6650 E. Walnut St. Suite 88
New Albany, Ohio 43054
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