Pilot Program ApplicationStep 1: About You and Your PracticeStep 2: Current NeedsStep 3: Pilot ReadinessStep 1: About You and Your PracticeTell us who you are and provide a few basic details about your practice.First NameLast NameYour Job Title / Role- Select Role -Practice OwnerDentistOrthodontistPractice ManagerOffice ManagerTreatment CoordinatorIT or Technology LeadConsultantOtherPractice / Clinic NameBusiness EmailNumber of Locations1Direct Phone NumberPractice Type- Select -General Dental PracticeOrthodontic PracticeMulti-Specialty Dental PracticePediatric Dental PracticePeriodontic PracticeOral Surgery PracticeEndodontic PracticeProsthodontic PracticeDental Service Organization or GroupOther Dental SpecialtyPractice WebsiteNumber of Team Members1PreviousNextStep 2: Current NeedsHelp us understand your current software, priorities, and what you would like to improve with Compass Pro.What practice management software do you currently use?- Select -DentrixDentrix AscendCurve DentalOpen DentalTrackerAbelDentClearDentMaxidentDolphin ManagementOrtho2Cloud 9Another practice management systemWe use multiple systemsWe do not currently use practice management softwarePrefer not to sayWhat are the main challenges you would like Compass Pro to help address? Appointment scheduling Patient records and documentation Dental treatment workflows Orthodontic treatment workflows Billing and payments Insurance workflows Patient communication Documents and electronic signatures Imaging and X-ray workflows Reporting and analytics Multi-location management Team coordination Workflow automation Finding information quickly with the Compass Pro AI Assistant Reducing reliance on disconnected systems OtherWhat would make the Pilot Program successful for your practice?PreviousNextStep 3: Pilot ReadinessConfirm that your practice is prepared to participate in remote onboarding, training, and periodic feedback sessions.Does the practice owner or decision-maker support this application? Yes Approval is in progress NoHow many team members would initially participate?- Select -12–34–56 or moreIs your team available to participate in remote onboarding, training, and periodic feedback sessions through Google Meet? Yes Yes, with advance scheduling We would require on-site sessions I have read and agree to the Terms of Use, Privacy, and Cookie Policy Previous Submit Application
