New Customer Onboarding

Start to the New Customer Onboarding Process
1. This is the start of the new customer onboarding process. Upon filling in this form the new customer will receive an email with a link to the start of the online onboarding process.
2. Complete this form while on the phone for the practice. This way you can confirm email receipt in real-time with the practice.
3. The email will come from ROE Dental Laboratory and will have the subject line ROE New Customer Onboarding Process. It will be from marketing@roedentallab.com.
4. If they do not see this email have them check their Junk/Spam folder.
Doctor Name*
E-mail*
Additional E-mail
Phone Number*
Specialty
New Doctor Type?
Case Number*
ACH Information Needed*
Practice Name*
Will there be multiple doctors sending work to ROE from this practice?*
Practice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Assign Salesperson
Should be Empty:

Start to the New Customer Onboarding Process