Website Onboarding Form Welcome to HM Fusion! Please complete this Website Onboarding Form so we can better understand your needs and ensure a smooth, personalized start to our partnership. Website Onboarding General Practice Information Practice Name Primary Contact Name Email Address Phone Number Practice Address Practice Address Practice Address Practice Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Please select the service areas that best describe your practice General & Cosmetic Dentistry Pediatric Dentistry Orthodontics Periodontics Endodontics Oral Surgery Sedation & Anesthesia Sleep & TMJ Disorders Holistic / Integrative Dentistry Technology & Patient Experience Emergency Dentistry Which social media platforms do you currently use? Facebook Instagram TikTok LinkedIn YouTube X (Formerly Twitter) Pinterest Snapchat Other Check all that apply and provide links if available. Facebook URL Instagram URL TikTok URL LinkedIn URL YouTube URL X URL Pinterest URL Snapchat Other Social Media Links Services Offered (Select All That Apply) Please select an option under “Which category best describes your practice?” Click Here. General & Cosmetic Dentistry Preventive Care Routine Cleanings & Exams Digital X-Rays Fluoride Treatment Dental Sealants Oral Cancer Screenings Restorative Dentistry Tooth-Colored Fillings Crowns & Bridges Dentures & Partials Root Canal Therapy Inlays & Onlays Same-Day Crowns (CEREC) Full Mouth Reconstruction Cosmetic Enhancements Teeth Whitening Porcelain Veneers Smile Makeovers Dental Bonding Tooth Contouring & Reshaping Cosmetic Injectables (Botox®, Dermal Fillers) Digital Smile Design Advanced Technology Laser Dentistry Intraoral Camera Exams 3D Cone Beam Imaging (CBCT) iTero® / TRIOS® Scanner CAD/CAM Restorations List any Additional General & Cosmetic Dentistry Services Pediatric Dentistry Preventive Care Routine Cleanings & Exams Fluoride Treatment Dental Sealants Cavity Risk Assessment Infant Oral Exams Habit Counseling (Thumb Sucking / Pacifier) Silver Diamine Fluoride (SDF) Restorative Care Tooth-Colored Fillings Pediatric Crowns Pulp Therapy (Baby Root Canal) Space Maintainers Frenectomy (Tongue / Lip Tie Release) Behavior Management & Special Needs Care Sedation Dentistry (Nitrous Oxide, Oral Sedation) General Anesthesia Special Needs Dentistry Orthodontic Services Early Orthodontic Evaluations Space Maintainers Phase I Orthodontics List any Additional Pediatric Services Orthodontics Traditional & Modern Orthodontics Traditional Metal Braces Ceramic (Clear) Braces Self-Ligating Braces Invisalign® & Clear Aligners Clear Aligner Therapy Invisalign® & Clear Aligners Retainers & Post-Treatment Care Retainer Replacement Program Early Orthodontic Treatment Phase I Orthodontics Growth & Development Tracking Palatal Expanders Space Maintainers Teen & Adult Orthodontics Braces for Teens Braces for Adults Accelerated Orthodontics (Propel®, VPro®) Specialized Orthodontics Surgical Orthodontics TMJ/TMD Treatment Sleep Apnea Appliances List any Additional Orthodontic Services Periodontics Gum Disease Treatment Scaling & Root Planing Laser Gum Therapy Periodontal Maintenance Peri-Implantitis Treatment Gum & Soft Tissue Procedures Gum Grafting Crown Lengthening Frenectomy Laser Pocket Reduction Therapy Aesthetic Crown Lengthening Dental Implants & Bone Grafting Single Dental Implants All-on-4® Implants Bone Grafting Regenerative Procedures List any Additional Periodontics Services Endodontics Root Canal Treatments Root Canal Therapy Root Canal Retreatment Cracked Tooth Repair Emergency Endodontics Endodontic Surgery Apicoectomy Endodontic Microsurgery List any Additional Endodontics Services Oral Surgery Tooth Extractions Simple Extractions Complex Extractions Surgical Extractions Wisdom Tooth Removal Impacted Tooth Extractions Dental Implants & Bone Procedures Single Dental Implants Implant-Supported Dentures Bone Grafting Sinus Lifts Ridge Preservation Socket Preservation Platelet-Rich Fibrin (PRF) Therapy Jaw & Facial Surgery Corrective Jaw Surgery TMJ Surgery Facial Trauma Surgery Exposure of Impacted Teeth (for Ortho) List any Additional Oral Surgery Services Sedation & Anesthesia Sedation Options Nitrous Oxide (Laughing Gas) Oral Conscious Sedation IV Sedation General Anesthesia Comfort Options Blankets & Music Headphones Spa Comforts / Comfort Menu Hospital Dentistry (Special Needs) List any Additional Sedation & Anesthesia Services Sleep & TMJ Disorders TMJ/TMD Therapy Botox® for TMJ / Facial Pain Sleep Apnea Treatment Snoring Appliances Nightguards & Bite Splints List any Additional Sleep & TMJ Disorder Services Holistic / Integrative Dentistry Holistic / Biological Dentistry Ozone Therapy Laser Bacterial Reduction Oral DNA Testing Nutritional Counseling List any Additional Holistic / Integrative Dentistry Services Technology & Patient Experience Digital X-Rays Intraoral Cameras CBCT 3D Imaging iTero® / TRIOS® Digital Scanner CAD/CAM Same-Day Dentistry Guided Implant Surgery Laser Dentistry Paperless Forms Comfort Amenities Flexible Financing List any Additional Technology & Patient Experience Services Emergency Dentistry Same-Day Appointments Broken or Chipped Tooth Repair Toothache Relief Knocked-Out Tooth Abscess or Infection Treatment List any Additional Emergency Dentistry Services Branding & Design Preference Do you have an existing logo? Yes No Existing Logo Upload Drop a file here or click to upload Choose File Maximum file size: 52.43MB Do you have brand colors? Yes No Please Provide Brand Color Codes or Description What overall style best represents your practice? Clean & Modern Classic & Traditional Friendly & Approachable Luxury & High-End OtherOther Please provide any inspirational websites or competitor sites you like: Website Content & Features Do you have existing website content (text, images, bios, etc.)? Yes No Would you like us to write content for you? Yes No What main pages do you need? (Check all that apply) Home About Us Services Meet the Team Patient Forms Testimonials Contact Page Blog/News Special Offers Before & After Gallery OtherOther Would you like online appointment scheduling? Yes No Do you want a patient portal or payment integration? Yes No Any additional functionality you’d like on your website? Photography & Media Do you have high-quality images of your office, team, or services? Yes No Would you like stock images or assistance with professional photography? Yes No Do you have any existing video content for your practice? Yes No Link for Video Content Additional Notes & Preferences Is there anything else we should know to create the perfect website for your practice? Next Steps Once you’ve completed this questionnaire, our team will review your responses and schedule a Kickoff Call to discuss the project details, timelines, and next steps. Thank you for trusting HM Fusion with your website development! We’re excited to bring your vision to life. If you are human, leave this field blank. Submit Δ