Patient Activator Growing your practice form the inside out
 Not a Patient Activator Member yet?

Let one of our Membership Development Representatives tell you how to start activating your patients today. Please fill out the form to the right or download the form below and fax it to 1-800-215-6625. To speak with a representative, simply call us at
1-800-518-6675.

Download Interest Form (pdf)

 Patient Activator

6060 Center Drive
7th Floor
Los Angeles, CA 90045

 1-800-518-6675

Fax: 1-800-215-6625
E-mail: support@patientactivator.com

 
Interest Form
Please have a Membership Development Representative contact me.
Best time to call
 
Name*
Address*
City*
State*
ZIP*
Office phone*
Cell Phone
E-mail*
Web site
Primary contact
Software
Estimate
  * Required information
 

powered by 1-800-DENTIST