Call Us.

+ more contact options

MaxiDent Questionnaire

Fill out this simple questionnaire to let us know more about your office and what’s important to you in choosing dental management software. A Maxim representative will review your results and contact you to discuss the MaxiDent™ dental software programs that would be best suited to your practice.

CONTACT INFORMATION

YOUR NAME: *
EMAIL ADDRESS: *
PHONE NUMBER (INCL. AREA CODE): *

PRACTICE INFORMATION

PRACTICE SPECIALTY: *
PRACTICE OWNERSHIP: *
NUMBER OF OPERATORIES: *
HOW MANY COMPUTERS DO YOU HAVE?: *
WHAT TYPE OF NETWORK DO YOU HAVE?: *

EXISTING TECHNOLOGY

CURRENT PRACTICE MANAGEMENT SOFTWARE:
INTRA ORAL CAMERA:
DIGITAL X-RAY SENSORS:
DIGITAL PAN:
DIGITAL CAMERA:
REMOTE ACCESS: *
OTHER:

ADDITIONAL DETAILS

NUMBER OF PATIENTS SEEN PER DAY (AVERAGE): *
LEVEL OF IMPROVEMENT ACCEPTANCE BY STAFF: *
WHAT ARE YOUR TECHNOLOGY INTERESTS?: *