Emergency Dentistry Questionnaire
Office Information
Your name
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Your email address
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Doctor or office name
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Office phone number
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Destination URL
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General Information
What are the most common emergencies you see and how do you treat them? Broken tooth? Lost filling? Knocked-out tooth? Toothache? Broken jaw?
Your Experience
How do you accommodate walk-in/same day patients?
What makes getting emergency dental treatment at your office better than getting treated at another office?
Additional Information that could set you apart from your competition?
Do you have any patient testimonials (text or videos) or videos you have created for your practice or the treatments you offer? (Include a link to any YouTube videos you’ve created!)
Do you have before and after photos? If so, please attach them here
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