Dental Appointment Form

Make your dental appointments a breeze with this easy-to-use Dental Appointment Form template! Keep track of patient information, appointment dates and times, and any special requests or notes. Use this free template to streamline your appointment booking process and provide your patients with top-notch dental care.

Dental Appointment Form template preview
Cover form page preview
Personal Information form page preview
Type form page preview
Ending form page preview

Customize in minutes

Drag and drop 40+ customizable question types to make this template your own.
Calendly, Chili Piper,
File uploads
Securely collect documents
Email address
Work or personal
Mailing address input
Autocomplete with the Google Maps API
Collect phone numbers
Domestic or international
Verify human respondents

Connect to
notion logo

Send responses wherever you need them, in 60 seconds:

1Clone this template.
2Connect your integration in Fillout.
3Share a link or embed forms anywhere ⚡️

Template FAQs

Why should I create a dental appointment form online?
Making dental appointments can be a hassle, but it doesn't have to be. By creating an online form for dental appointments, you can simplify the process for both yourself and your patients. Not only can you avoid phone tag, but you can also reduce no-shows and ensure that patients provide all the necessary information ahead of time. With our template, you can create a user-friendly and professional-looking dental appointment form in just a few minutes.
Can I customize my dental appointment form?
Yes, you can! Our template allows you to personalize your dental appointment form by adding your clinic's logo, changing colors, fonts, and backgrounds to match your brand, and including any specific questions you need to ask patients. Whether you want to ask about their dental history or their preferred appointment time, you can tailor the form to your needs and create a great first impression for your patients.
Can I integrate my dental appointment form with other tools?
Yes, you can! By integrating your dental appointment form with other tools, you can streamline your workflow and automate certain tasks. For example, you can use our Stripe integration to accept payments or connect your form to your scheduling software to avoid double booking. You can even use Zapier to automate tasks like sending appointment reminders via email or SMS. With our template's flexible integration options, you can improve your clinic's efficiency and enhance the patient experience.
Is my dental appointment form mobile-friendly?
Absolutely! Our template is designed to be responsive, meaning that it works and looks great on any device, whether it's a desktop computer, tablet, or smartphone. By making your dental appointment form mobile-friendly, you can provide your patients with a seamless experience and increase the likelihood of them completing the form. Plus, you can easily access and manage your appointment requests on the go, giving you more flexibility and control over your schedule.
Are all features of the dental appointment form free?
Most of our template's features are available free of charge. You can check out to see which features are included in the free version and which ones require a paid subscription. However, even with the free version, you can create a professional-looking dental appointment form that meets your needs and simplifies your workflow.