YOUR PRACTICE'S FINANCING PAGE

Get Financing Information Form

A simple form like this one can collect the phone numbers of potential patients who are interested in learning more about financing. This allowed your treatment coordinators to touch base with them and even send them a OTA link directly from the dashboard.

The reason this form contains only a single field (the phone number) is to make it as easy as possible for potential patients to fill out. Paralysis by analysis avoided!

SEND ME FINANCING INFORMATION