Book An Appointment Book An Appointment First Name* Last Name* Email* Phone* Lead Status -None- Dentrix Patient Not contacted 1- Contacted to book consult & Brochure sent 1 - Contacted/Unable to leave msg follow up required 1 - Contacted to Answer questions sent through from Vitality website 2 - Consult App Booked 2 - Contacted Pt / Did not want to book consult 2 - Seminar seat Reserved 2 - No Show for consult 2 - CXL scheduled consult 3 - Follow Up 1 To Book Consult 3 - Follow Up 1 - After Consult 3 - Follow Up 2 3 - Follow Up 3 4 - Appointment Booked 4 - Attended Consult / Lost 4 - Attended Consult / Waiting on decision from Pt 4 - Attended Consult / Won 5 - Lost / No Response from Patient 5 - Lost / Too Expensive 5 - Not Qualified 5 - Lost / Alternate provider 5 - Lost / Other Reason for contacting -None- Dentrix Patient New Patient Implant Patient Cosmetic Invisalign Ortho Dental Implant Guide Seminar Book Appointment MessageBy submitting this form, you acknowledge to receive emails from Dentistry at Vitality Health. We do not share your personal information with any third parties. You can unsubscribe at any time. Please accept this
Book An Appointment First Name* Last Name* Email* Phone* Lead Status -None- Dentrix Patient Not contacted 1- Contacted to book consult & Brochure sent 1 - Contacted/Unable to leave msg follow up required 1 - Contacted to Answer questions sent through from Vitality website 2 - Consult App Booked 2 - Contacted Pt / Did not want to book consult 2 - Seminar seat Reserved 2 - No Show for consult 2 - CXL scheduled consult 3 - Follow Up 1 To Book Consult 3 - Follow Up 1 - After Consult 3 - Follow Up 2 3 - Follow Up 3 4 - Appointment Booked 4 - Attended Consult / Lost 4 - Attended Consult / Waiting on decision from Pt 4 - Attended Consult / Won 5 - Lost / No Response from Patient 5 - Lost / Too Expensive 5 - Not Qualified 5 - Lost / Alternate provider 5 - Lost / Other Reason for contacting -None- Dentrix Patient New Patient Implant Patient Cosmetic Invisalign Ortho Dental Implant Guide Seminar Book Appointment MessageBy submitting this form, you acknowledge to receive emails from Dentistry at Vitality Health. We do not share your personal information with any third parties. You can unsubscribe at any time. Please accept this
