Practice Website

Practice Address?

General Business Description

What are your Unique Value Propositions? What makes your practice different/special?

What special offers can you put together for the different campaigns?

Do you offer interest-free payment plans?

The minimum monthly advertising budget is $2000/month to begin with. If you would like to spend more, please specify how much?

How many new patients are coming in on average each month?

What is your monthly Revenue?

How many staff does your practice have?

How many receptionists do you have on at the same time who are able to answer calls?

How many phone lines are in your practice?

How long has your practice been operating for?

What is your practice number we should forward all call enquiries to?

Where should we send your web form enquiries to?

What is your practice manager's details?

Is there anyone else we should send the monthly reports to?

What days and times of the day are receptionists able to answer the phone?

It takes receptionists about 30min-1 hour/day to follow up with marketing enquiries properly and record the exact ROI with our CRM Software. With that in mind, how important is proper tracking to you and how would you like to allocate your staff's time?

How important is exact ROI tracking to you?

Tracking is important. I will allocate ongoing staff time to get accurate ROI reports. (recommended)

Tracking is only important in the beginning. I only need to know the campaigns are working so I can allocate staff time for ROI reporting for the first 3-6 months only.

Tracking is not important to me. I'd rather allocate staff time to other tasks and I'm ok not knowing the ROI of my marketing campaigns.

What is your practices ABN number?

We need TWO documents to verify your registered business address to setup our backend software

I.E. General Practice

Please upload the 2nd document:

I.E. General Practice

What are your website CMS (content management system) login details?

What is the URL of your Practice's Facebook page?

What is the email you use to login into your Google My Business Account?

Please provide a name & email for the person who will be shown as the "From" when sending Google Review Requests.

Do you offer Dental Implants?

Yes

Do you offer Dental Implants in-house?

Yes

Who is the primary dentist completing implant consultations?

How much do single Dental Implants start at?

Do you provide All-On-4 or All-On-6 Dental Implant Treatments?

Yes

(if applicable) How much does All-On-4 start at per arch?

Do you offer Orthodontic Treatments?

Yes

Secure Payment Facility

We add your preferred billing method directly to the advertising platforms. We accept the following cards: Mastercard, Visa, American Express.

Card Number

Expiry Date

Security Code (If you're using a Mastercard, we need the 4 digits on the front of the card)

Before we wrap up, one last quick question:
We’re looking to help more clinics like yours. If you know up to 3 practices (or more!) that want more new patients, refer them and we’ll give you $500 cash for each one that signs up — plus $500 off for them!

Share their name, email, and phone — we’ll take it from there.

Referrals

Colleague 1
Colleague 2
Colleague 3
Colleague 4
Colleague 5

Thank you! Please hit the submit button in the bottom right of the screen.