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Branded forms that help reveal what's important to your patients.

Personalized Intake Forms

  

 

 

First impressions are the key to turning new patients into loyal patients - so why give them a dull intake form that reminds them of a cold medical office?

Home > Products + Services > "Getting to Know You" Forms

"Getting to Know You" Forms

Patient Activator creates personally branded intake forms that match your other communications. Plus, we include an entire page devoted to asking patients what they think of their current smile to help start your chairside conversations.

 

  • Personalized with your name, logo, photo and practice information
  • Five easy pages including dental history, insurance info and "smile analysis"
  • Creates a warm, non-medical first impression
  • Includes questions to help you understand new patients' dental needs and wants
  • Start-up supply delivered to your office - plus a PDF so you can print unlimited copies!

 

 

Learning about your patients is about more than just their contact info. Ask the questions that help you get to know them better - so you can have more insightful conversations and enjoy lifelong loyalty.

 

 

Click here to view sample personalized intake forms