Clinic Sign Up

Start clinic signup.

Enter the clinic owner email, office basics, and authorized signer details. Then continue to secure Stripe Checkout and dashboard onboarding.

Complete this form to record clinic authorization and continue to secure Stripe Checkout. After checkout, the owner password setup and onboarding flow continue by email/dashboard. Fields marked * are required.

Account email

This email is the clinic owner/admin sign-in ID. Password setup and onboarding messages are sent here after the account is created.

Office basics

These non-PHI details create the clinic workspace and route onboarding. Scheduling rules, operatories, voice, and languages are configured later in the dashboard.

Required service acknowledgements

These acknowledgements cover clinic signup, privacy, acceptable use, cookies, and secure payment processing.

Authorized signer

Enter the person authorized to start signup for this clinic. Formal clinic onboarding agreements are completed in the dashboard before production activation.

Confirm that this clinic uses Open Dental.

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