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Customer Form on Website

Appointment Selection

  • To get started, click on the "appointment" option on our website.
  • You'll see a window pop up with drop-down lists. From there, pick your preferred:preferred company and service.
    • Clinic
    Service Doctor Once you've made your selections, just hit "complete data."

    Appointment Date and Time Selection

    • Next, you'll choose the date and time for your appointment. Just select what works best for you based on our available slots.
    • When you're ready, click "continue."

    Customer Form

    Now, it's time to fill out your details in our customer form. We'll need:

    • Your Name
    • Email
    • Phone Number
    • Choose your toothbrush type (none, standard, premium) and quantity.
    Pick your toothpaste type (none, ABC paste, XYZ paste, or choose a new option) and quantity. Any additional notes you'd like to add. Select your payment method (cash or card). Lastly, just confirm that all the information you've entered is correct.

    Confirmation and Reservation

    • Once you've reviewed everything and confirmed, go ahead and submit the form.
    • You'll receive a confirmation message with all the details of your reservation, including your appointment and your personal information.
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