Full Name *

Website *

Business Name *

Business Phone Number (not personal) *

Business Email Address *

Business Address *

Tax ID (same as EIN number we need this to acquire a texting phone number for you) *

What insurances do you accept? (if none say "out of pocket only"). Please also include any important insurances you do not accept like Medicaid. *

What days and times do you work? *

What patient management system do you use? *

What provider do you use for your business's phone number? (this is referring to the phone system you have at your office) *

For the AI receptionist specifically do you want it to work 24/7 and fully replace your front desk picking up phone calls or only after certain hours when your office is closed? *

For the AI receptionist do you prefer a male or female caller? (our male caller is the most realistic one thus far) *

Write in a line separated by a comma each all of the services you offer (Ex: Dental Cleaning, emergency appts, fillings, crowns, etc. Please include examples of services you DO NOT offer as well) *

What is the area code for your business's phone number (first 3 numbers)? Example is in 718-588-4009 the area code is 718. *

How many dentists work in this office? *

If more than 1 dentist present for the question above please list the full name, days/times, and specific procedures that each Doctor does. (If everyone can do the same procedure and every patient can book into any of the open slots then you can leave this blank and we will use your info from the services you offer section to handle everything)

Do you have any special pieces of info that our AI needs to be aware of? Examples included below: *

Dr.Josh is our extraction specialist who only works Mon/Tues from 8:30am to 10:30am - all other regular appointments are handled by Dr.Anthony. We only take consults on Mondays. We are typically open on Christmas and other major holidays. Our consultation fee is $150 which gets factored into our total price once the dentist sees your case.

Any other general info you want the AI to know about you/your business? *

Step 2/3 - fill form below

WELCOME TO HALO DIAL