» New Client Technical Questionnaire

New Client Technical Questionnaire

New Client Technical Questionnaire

Please complete the form below so that we can begin managing your website as soon as possible.
You may complete part of the form and save it for later if you do not have all the information now.
If you have any questions please contact the technical department at (480)273-8888 x. 5.

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Practice Name
Your Website URL:
Your Practice Hours by Day
Do you own any additional related domains with content related to your Practice?
Yes
No
Additional Domains

Please add any additional domains you may own. Click the plus button to continue adding.
Registrar Information (ie. Godaddy, Namescheap)*
URL
Username
Password

Do You have a YouTube Channel?*

Yes

No
Please provide the URL of your YouTube Channel*

Domain Expiration Date*
What email addresses should NEW APPOINTMENT REQUESTS go to? (List at least two)

WordPress Login Username (or other CMS login)
WordPress Password (or other CMS password)
What is your main phone number? (landline- not call tracking)
Does your site currently use Call Tracking?
Yes
No
What Call Tracking Service are you using?

What is the Username for the CallTracking software?
What is the Password for the CallTracking Software?
Contact Information for your IT company/person
Additional Notes or Comments
Please provide any other internet presence URLs that your business has, (i.e. Facebook, Instagram, other blogs, other sites with a business page for you, etc._)
Do you have more than one live website for your practice.

Please provide a link to your Facebook Page Or FB page username
Please provide a link to your Twitter Page or Page name
Please provide a link to your Twitter Page or Page Name
Please provide a link to your TikTok Page or Page name
By signing below you authorize Infinity Dental Web to contact persons listed and to access any websites where you have supplied logins.
Infinity Dental Web keeps all information supplied secure and confidential. We will not share the information you have supplied without written permission from you.
Please Sign*
URL
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