Solem Orthodontics
"Thank you for calling Solem Orthodontics. How may I help you?
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Hour Minutes
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AM/PM Option
"The office is closed right now, but I'm the off-site Receptionist and I may be able to assist you. What is the reason for your call today?" (Office hours are Tuesday-Friday from 9-4:30pm)
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Prospective new patient ("I can schedule you for a free consultation.")
Existing patient
Doctor or Doctor's office
Other
Caller's Name
First Name
Last Name
Caller's Phone Number
Please enter a valid phone number.
Prospective new patient
"I can schedule a complimentary orthodontic exam for you or your child where the doctor can answer all of your questions. We need to get some preliminary information to schedule your exam. It only takes about 2-3 three minutes. Otherwise, we can call you back at a more convenient time. Our clinical staff can return your call 9-4:30 pm Tue-Fr. Would you like to schedule now?” [To schedule, choose Yes below, enter patient name, then click button below to link to scheduling system. Complete all fields, schedule, and put initials in Message field. SUBMIT this form after completing scheduling.]
For Insurance or Clinical questions:
We do NOT need insurance information to schedule the free consultation, but if they want answers to insurance questions first, say, "We will relay your questions to our team and have them call you back as soon as they are available." [Choose Scheduled? No, and Include specific message below.]
Ready to Schedule?
Yes (enter Patient Name below then click image to link to scheduling site. Be sure to return here to SUBMIT this form.)
No, prospect has additional questions. Please call before scheduling.
Existing patients
Is this an emergency? (Pain, blood, excessive discomfort)
Yes
No
Take patients information, then ATTEMPT to reach Dr. Solem. If UNAVAILABLE, say, "I apologize, but I was unable to reach the doctor at the moment. I will submit your information and he will return your call as soon as possible."
SUBMIT form.
"May I take your information so the Doctor can return your call?"
Patient's Name
First Name
Last Name
Patients Phone
Please enter a valid phone number.
Patient's Date of Birth
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Month
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Day
Year
Date
Message
Doctors office
"May I take your information so the Doctor can return your call?"
Patient's Name
First Name
Last Name
Name of Doctor's Office
Office Phone Number
Please enter a valid phone number.
Patient's Date of Birth
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Month
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Day
Year
Date
Message
Disposition (Check all that apply):
Call connected
Return call requested
Issue resolved
Receptionist
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Submit
Should be Empty: