Dentaware Quote Request Form

Practice Name: *

Contact Name: *

Essential Features Included in All Dentaware Websites

Professional Custom Copywriting Throughout
Search Engine Optimization
"Request an Appointment" Contact Forms
Full compliance with advertising regulations
Unlimited web-based email accounts
Monthly Reports (emailed to you automatically)
Stunning Graphic Design
Directory Listings (8 Free Listings)
Professional Stock Photography
Interactive Google Map on your Contact page
Domain Registration & Secure Web Hosting
Referral Buttons ("send this page to a friend" buttons)

How many doctors work at your practice?

Would you be interested in maintaining a "What's New" page? Your 'What's New' page comes with a simple application designed for everyday users to post updates like text, images, and links, so you can announce new products & service offerings at any time. If you choose, Dentaware can update this page for you regularly at a nominal fee.

Yes
No
Maybe

Do you have before & after photos of your work that you'd be interested in displaying on the site?

Yes
No
Maybe

Would you be interested in having a professional photographer come in to stage and photograph your practice? Our professional photographers will capture the essence of your practice using high quality digital equipment. The high-resolution digital photos are yours to keep - you'll receive a CD with your practice photographs when your website is launched.

Yes
No
Maybe

Would you like your website to feature an animated home page flash banner (with moving text and graphics) to display your practice philosophy/approach in an aesthetically captivating way? This feature is highly recommended.

Yes
No
Maybe

Would you be interested in displaying a toll-free 1-800 number on your website for call-tracking purposes Dentaware will set up a toll-free 1 800 number that will seamlessly forward all calls from your website to the main phone number of your practice. You can view statistics online at any time to see how many calls your website is generating.

Yes
No
Maybe

If you use patient education software/videos in your practice, please indicate the brand you use. ie. Optio, ConsultPro, CAESY, etc.

Would you be interested in having your website submitted to 8 additional free directory listings (ie: yellowpages.ca, etc.) to greatly increase relevant website traffic & exposure? All websites incude submission to the 8 most popular online directories. Please indicate if you'd like an additional 8 to increase traffic to your website.

Yes
No
Maybe

Would you like to feature mini biographies of yourself and/or your staff on the website?

Yes
No
Maybe

Do you offer cosmetic dentistry at your practice?

Yes
No

Would you be interested in educating new patients on procedures and oral care through short and informative video clips from your website? Optio Dentistry™ is an educational tool designed to help patients understand the process involved in dentist-recommended treatments. Patients can watch short animated movie clips right from your website, that will educate them on the value and service their dentist can provide them.

Yes
No
Maybe

What types of patients make up most of your patient-base? Which of the following patients are you hoping to attract most of:

Is there anything else you had in mind for your future website?:

Email Address *

Street Address *

Phone Number *

Fax Number *

Current website (if you have one):

In order for Dentaware to be able to prepare the best possible quote for your website needs, please indicate your estimated one-time investment budget for this project:

How would you like us to deliver your personal quote when it's completed?

email
fax