Acknowledged in seconds
The patient hears back straight away, which buys your team the time to make a proper call.
DCRM SmileEngine™ Form
A plug-and-play form that tells you where your patients come from
Drop it onto your website, point it at your DCRM account, and style it so it looks like part of the site. From then on every enquiry arrives carrying the treatment the patient wants, the page they read and the channel that sent them.
Designed by dental marketers with over 15 years’ experience, not developers.
A dental enquiry form on an All-on-4 treatment page capturing the treatment and the traffic channel
The same traffic. A far better enquiry.
A standard website form
- The enquiry arrives as a name, contact details and a message.
- Nobody knows which page or which channel produced it.
- A check-up enquiry and an implant enquiry look identical in the inbox.
- It looks bolted on, because it is.
- It needs Zapier or a developer to get the data anywhere useful.
- Reporting is a guess at the end of the month.
With the SmileEngine™ Form
- It arrives with the treatment the patient asked for.
- The landing page and the channel are attached on arrival.
- Your team can see which enquiry to ring first.
- It is styled to your site, in your branding, on your domain.
- Just add the integration key, and the data goes straight into your own DCRM account.
- The report is already built.
What it does
The enquiry tells you what it wants.
The form tells you what produced it.
Plug and play
It drops into your website and connects straight to DCRM
The form is a WordPress plugin. Your developer puts it on the page, enters the integration key, points it at your DCRM account, and it is live. There is nothing to build and nothing to wire up in the middle.
No third-party form service, no export, no copy and paste. Every submission, and all the tracking that comes with it, lands in your own account the moment the patient presses send.
Illustration: the steps an enquiry takes, from the website into DCRM.
Just enough questions
It asks the right number of questions, and then stops
Every field you add to a form costs you conversions. Ask for too little and it impacts the quality of the enquiry. Ask for too much and the patient gives up before they finish.
So it asks just enough. Enough for your coordinator to work with, and short enough that people actually finish it.
Illustration: a short form, with the questions it leaves out struck through.
Channel and page
Every enquiry says where it came from
The form on your All-on-4 page is not the same form as the one on your contact page. It knows which page it is sitting on and, where the data is available, which channel sent the visitor.
In plain English: you stop guessing which channels are working, and start investing in the ones that book patients.
Illustration: incoming enquiries, each with its landing page and channel.
It looks like your website
Your patients finish what they started
Human nature is to stop when something does not match. Most people could not tell you what bothered them. They just do not finish.
So the plugin hands your designer full control of the styling. The form carries your fonts, your colours, your spacing and your buttons, and sits on your own domain.
Nothing jars, so nothing stops them.
Illustration: the form styled in a practice’s own colours and fonts.
Treatment and value, visible
Your front desk can see what to prioritise
The form captures the treatment. So when the enquiry lands in your SmileEngine™ Pipeline, your team sees what it is and what that treatment is worth to the practice.
A high-value case stops looking exactly like a check-up in the pipeline, so your team can see straight away who to call first.
The AI and the automation are there to cover off speed. Your team is there for the relationship and to build the trust. They complement each other beautifully.
Illustration: pipeline enquiries sorted by example treatment value.
Plus, the parts nobody thinks about until it goes wrong
It is centralised
Every enquiry lands on the patient record in your pipeline, not just the email inbox.
A form on every treatment page
Not just one on the contact page. Each form reports the page the enquiry comes from, so every enquiry is attributed without anybody typing anything.
The reporting is prebuilt
At the end of the month the page and channel data is already sitting there. Nobody has to reconstruct it.
It can book, too
If your PMS gives you an API, then you can enable SmileBridge™ and the same form lets patients book themselves straight into your practice management system.
One less thing to break
No connector between your website and your CRM. Nothing to maintain, and nothing that quietly stops working without telling anybody.
Where this sits in DCRM
The front door to everything else
Enquiries land in the SmileEngine™ Pipeline. Replies are picked up by the AI Text Receptionist™. The page and channel data the form attaches is what makes your reporting worth reading. Add SmileBridge™ and the same form books patients straight into your practice management system.
One patient. One record. Nobody starting from scratch.
- SmileEngine™ FormYou are hereYou are here
- SmileBridge™Add-on: patients self-book
- AI Text Receptionist™Answers the reply
- SmileEngine™ PipelineNothing gets lost
Case studies
The proof sits on the case study pages
SmileEngine™ Form
A $20,000 consult booked at 7:47pm, and they turned up
AI Text Receptionist™
A Sunday morning enquiry became a $20,000 booking in 2 minutes
Where it makes sense
A practice investing in marketing that does not know the true value of its pipeline.
When this is not for you
- If you only have one form on the contact page, most of the attribution does nothing for you yet. Sort the pages out first, then come back.
- You think all patients are created equal.
- Your website is not on WordPress. The form is a WordPress plugin.
Getting started
How to switch it on
FAQs
Questions we get asked
What should a dental enquiry form ask for?
The treatment the patient is asking about, and what they want in their own words. The form should attach the landing page and the channel itself, so nobody has to ring to find out what the enquiry even was.
Can it tell me which ad produced the patient?
It attaches the landing page every time, and the traffic channel where that data is available. So you can see which pages and channels bring patients.
Does the form book the appointment?
Not on its own. Booking straight into your practice management system is SmileBridge™, a premium add-on that sits on this same form. If your PMS gives you an API, then you can also book your patients directly.
Will a short form give us unqualified enquiries?
It gives you the treatment, the page and the patient's own message. That is more qualification than most practices get from a long form, because long forms are abandoned by exactly the patients you want.
Will it match our website?
Yes. It is a plugin your designer can style using CSS, so it carries your fonts, your colours and your buttons on your own domain.
How does it get onto our website?
It is a WordPress plugin. Your developer installs it onto the site and points it at your DCRM account. Most practices are live the same day.
Where does the enquiry data go?
Straight into your own DCRM account. There is no third-party form service sitting in the middle holding it, and nothing for anybody to export.
What happens after a patient submits it?
The patient is acknowledged within seconds, and the enquiry lands on a record in your SmileEngine™ Pipeline carrying the treatment, the page and the channel, ready for your team to work. An email notification goes to your team.