Fluoride 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 is the difference between topical fluoride and systemic fluorides?
Why is it important to receive fluoride treatment?
How can patients choose the right fluoride treatment at home?
How does fluoride help in preventing cavities for all ages?
Your Experience
What advice do you offer to patients about receiving fluoride treatment?
Why should patients receive fluoride treatment in your office? What makes you unique?
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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