New Patient Call in Form

This Dental Receptionist resource document provides a form to aid in asking the right questions and getting the answers the dental practice needs to provide the best customer experience possible.


Patient Name____________________________

Guardian’s Name (if patient is a child)____________________________

View the complete document and print out a copy for your office below!
[mepr-show if=”loggedout”]You’re currently logged out or not yet a member! You must be logged in with an active membership to view our documents and training resources.[/mepr-show][mepr-active memberships=”629,630,37388,37393,37672,37676,37670,37668,37674,44674,232156″]