Dental & orthodontic
New patient paperwork, finished before they arrive.
Registration, medical history, insurance and consent — completed at home, in the chair’s own words, landing in the front desk’s inbox as a PDF.
The forms this specialty uses
Their words, their forms, their agreement.
01
New patient registration and medical history
02
Insurance and financial policy acknowledgement
03
Consent to treatment, with the exact wording stored
New patient registration and medical history
Insurance and financial policy acknowledgement
Consent to treatment, with the exact wording stored
Submit securely
Encrypted to this practice’s key
Agreements
Each practice signs its own agreement.
Sent, signed and countersigned before anything is collected on that practice’s behalf. Its own encryption key, its own retention, its own audit scope.
CollectingAgreement countersigned
RefusedNothing collected until signed
RetentionExactly as long as you chose
Start by finding out what your websites are leaking.
A free scan of any practice site tells you in ninety seconds which trackers are loading on pages that collect patient information. No account, no card.