ClearConnect Premium Form

- Step 1 of 8

Thank you for subscribing to ClearConnect Premium

To customize your ClearConnect patient engagement system and meet your office's needs, please complete each step.

Please note:

“Text” is referred to in this setup as “SMS".
This form can ONLY be completed on a computer. (min. resolution of 1120 x 700)

Step 2: Design Style

Please select one of the design styles by clicking on it.

Multiple Choice *

Design Style #1
Design Style #2

Office Information

Please enter your office's information and provide a current copy of your logo. This will ensure we have up-to-date records and that your email and SMS messages are generated correctly. Note that we do not use your logo for any purposes other than for generating the email messages.

Office Name *

Office Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Office Phone Number *

Timezone *

Other Timezones *

Office Logo

Click or drag a file to this area to upload.

Social Media Information

To add social media icons to your template, please input the respective URLs. If you would not like to display the below, please leave the text box(es) empty.

Office Website

Facebook

Instagram

Twitter

Please note the social media information provided above will be also used in your landing page. Click here for an example.

Step 3: Appointment Reminders and Confirmations

You may have up to 5 different Appointment Reminders or Confirmations enabled.

An Appointment Confirmation will alert the patient of the upcoming appointment and allows them to confirm the appointment.
A Reminder will alert the patient of the appointment without asking them to confirm the appointment.

Set the # of days prior to an appointment date to send the reminder/confirmation, and select the contact method(s). Please note that:

Our system runs on calendar days, not business days
"Both Email & SMS" will always send BOTH an email and SMS as long as the patient has an email and mobile phone number on record.
"Patient's Preferred Method" will send either an email or SMS, depending on the patient's contact priority setting.

Customizing text:

For each Reminder/Confirmation enabled, please use the example image on the left and edit the text boxes on the right to your liking.
We recommend that you do not change any special parameters (ex: {FamAppts} {$_CONFIRMLINK_$} ), as ClearConnect uses these parameters to create unique emails and SMS messages for each patient.

If you have any questions regarding this step, please feel free to contact us at [email protected]

As a default, we have enabled the following recommendation: 14-day reminder, 7-day confirmation, 3-day confirmation and 1-day reminder.

Appointment Reminders/Confirmations:

Reminder/Confirmation 1

Appt Reminder/Confirmation Activation 1 *

Enable
Disable

Send a

Reminder/Confirmation 1 *

# of Days for Reminder/Confirmation 1 *

Days before the appointment date via

Reminder/Confirmation Method 1 *

Reminder/Confirmation 2

Appt Reminder/Confirmation Activation 2 *

Enable
Disable

Send a

Reminder/Confirmation 2 *

# of Days for Reminder/Confirmation 2 *

Days before the appointment date via

Reminder/Confirmation Method 2 *

Reminder/Confirmation 3

Appt Reminder/Confirmation Activation 3 *

Enable
Disable

Send a

Reminder/Confirmation 3 *

# of Days for Reminder/Confirmation 3 *

Days before the appointment date via

Reminder/Confirmation Method 3 *

Reminder/Confirmation 4

Appt Reminder/Confirmation Activation 4 *

Enable
Disable

Send a

Reminder/Confirmation 4 *

# of Days for Reminder/Confirmation 4 *

Days before the appointment date via

Reminder/Confirmation Method 4 *

Reminder/Confirmation 5

Appt Reminder/Confirmation Activation 5 *

Enable
Disable

Send a

Reminder/Confirmation 5 *

# of Days for Reminder/Confirmation 5 *

Days before the appointment date via

Reminder/Confirmation Method 5 *

Additional Notes:

If you require any additional reminders/confirmations or would like to add any comments, please use the text box below.

Additional Notes:

Please use the following parameters to ensure your messages are customized to each patient:

{FamAppts} = Patient's first and last name and time of appointment
{AppDate} = Patient's appointment date
{PatName} = Patient's first and last Name
{OfficeName} = The office's name
{AppShortDate} = Patient's Appointment Date
{AppStart} = Patient's Appointment Time

Reminder Customization:

Email:

1 Header Text

Reminder Header Text

2 Text Box 1

Text Box 1

3 Text Box 2 (Bolded)

Text Box 2

SMS:

Please Note:

The max number of characters is 140, this is including the parameters. If you exceed 140 characters, the messages will be sent via 2 SMS.

Ex. {OfficeName} = 13 characters

Ex. {FamAppts} = 10 characters

Ex. {AppShortDate} = 14 characters
SMS Text

SMS Text

Please use the following parameters to ensure your messages are customized to each patient:

{FamAppts} = Patient's first and last name and time of appointment
{AppDate} = Patient's appointment date
{PatName} = Patient's first and last Name
{$_CONFIRMLINK_$} = Confirmation Link
{OfficePhone} = Your office's phone number
{AppShortDate} = Appointment date
{AppStart} = Patient's appointment time

Confirmation Customization:

Email:

1 Header Text

Confirmation Header Text

2 Text Box 1

Text Block 1

3 Text Box 2 (Bolded)

Text Block 2

SMS:

Please Note:

The max number of characters is 140, this is including the parameters. If you exceed 140 characters, the messages will be sent via 2 SMS.

Ex. {$_CONFIRMLINK_$} = 15 characters

Ex. {OfficeName} = 13 characters

Ex. {OfficePhone} = 11 characters

Ex. {FamAppts} = 10 characters

Ex. {AppShortDate} = 14 characters
SMS Text

SMS Text

Step 4: Recalls Reminders

Please fill out the empty fields below to customize the automated Recall Reminders and Overdue Recalls.

Upcoming recall reminders are sent prior to the due date or follow up date using the recall template.
Overdue recall reminders are sent after the due date or follow up date using the recall template.

Additional Information:

If you don't require the automation, please disable them.
The Recall Due Date indicates the date that the recall is eligible to be billed to insurance.
The Follow-Up Date is flexible, used by the office staff to remind the patient that they need to book their next cleaning/check.

If you have any questions regarding this step, please feel free to contact us at [email protected]

Our recommendation is a 30-day upcoming reminder and a 60-day overdue reminder, both using Due Date.

Upcoming Recall Reminders:

Upcoming Recall Reminders 1:

Upcoming Recall Activation 1 *

Enable
Disable

Send an upcoming recall reminders via

Upcoming Recall Method 1 *

# of Days Upcoming Recall Reminders 1 *

days before the recall was due

based on

Upcoming Recall Type 1 *

Upcoming Recall Reminders 2:

Upcoming Recall Activation 2 *

Enable
Disable

Send an upcoming recall reminders via

Upcoming Recall Method 2 *

# of Days Upcoming Recall Reminders 2 *

days before the recall was due

based on

Upcoming Recall Type 2 *

Overdue Recall Reminders:

Overdue Recall Reminders 1:

Overdue Recall Activation 1 *

Enable
Disable

Send an overdue recall reminders via

Overdue Recall Method 1 *

# of Days Overdue Recall Reminders 1 *

days after the recall was due based on

Overdue Recall Type 1 *

Overdue Recall Reminders 2:

Overdue Recall Activation 2 *

Enable
Disable

Send an overdue recall reminders via

Overdue Recall Method 2 *

# of Days Overdue Recall Reminders 2 *

days after the recall was due based on

Overdue Recall Type 2 *

Overdue Recall Reminders 3:

Overdue Recall Activation 3

Enable
Disable

Send an overdue recall reminders via

Overdue Recall Method 3 *

# of Days Overdue Recall Reminders 3 *

days after the recall was due based on

Overdue Recall Type 3 *

Overdue Recall Reminders 4:

Overdue Recall Activation 4 *

Enable
Disable

Send an overdue recall reminders via

Overdue Recall Method 4 *

# of Days Overdue Recall Reminders 4 *

days after the recall was due based on

Overdue Recall Type 4 *

Overdue Recall Reminders 5:

Overdue Recall Activation 5 *

Enable
Disable

Send an overdue recall reminders via

Overdue Recall Method 5 *

# of Days Overdue Recall Reminders 5 *

days after the recall was due based on

Overdue Recall Type 5 *

Additional Notes:

If you require any additional recalls or would like to add any comments, please use the text box below.

Additional Notes:

Please use the following parameters to ensure your messages are customized to each patient:

{OfficePhone} = Your office's phone number
{PatFirstName} = Patient's First Name

Recall Customization:

Email:

1 Header Text

Recall Header Text

2 Text Box 1

Text Box 1

3 Text Box 2 (Bolded)

Text Box 2

SMS:

Please Note:

The max number of characters is 140, this is including the parameters. If you exceed 140 characters, the messages will be sent via 2 SMS.

Ex. {PatFirstName} = 14 characters

Ex. {OfficePhone} = 13 characters
SMS Text

SMS Text

Step 5: Additional Options

Please click on the additional option samples below to select which options you would like. If you don't require the below automations, please check 'Next' to continue.

Additional Information:

Birthday Greetings will be sent on the day of your clients' birthdays.
Thank you for Booking an Appointment will be sent to patients who booked for an appointment each day.
A New Patient Greeting is sent to your patient when their first billing goes through the ClearDent ledger.

Additional Option Samples

Additional Options 1

Birthday Greetings
Thank you for Booking an Appointment
New Patient Greetings

Please use the following parameters to ensure your messages are customized to each patient:

{PatFirstName} = Patient's first name
{OfficeName} = The office's name

Birthday Greetings Customization:

Email:

1 Birthday Text

Birthday Text Box 1

Please use the following parameters to ensure your messages are customized to each patient:

{FamAppts} = Patient's first and last name and appointment date and time

Thank you for Booking an Appointment Customization:

Email:

1 Header Text

Thank you for Booking an Appointment Header Text

2 Text Box 1

Text Box 1

3 Text Box 2 (Bolded)

Text Box 2

Please use the following parameters to ensure your messages are customized to each patient:

{OfficeName} = The office's name

New Patient Greetings:

Email:

1 Header Text

New Patient Greetings Text

2 Text Box 1

Text Box 1

3 Text Box 2

Text Box 2

Step 6: Authorization of ClearMessaging (2-Way Text)

Please complete all forms below to allow ClearConnect to send text messages on your behalf.

Letter of Authorization *

Click or drag a file to this area to upload.

Please download the template below, complete, sign, and upload the completed and signed letter.

Letter for Authorization Template

Most Recent Phone Bill *

Click or drag a file to this area to upload.

Please provide a copy of a recent phone bill, including pages that show your office/practice name, account name, office phone number, billing address, and service provider. It is not necessary to upload all pages.

Step 7: Patient Survey Setup (Reputation Management)

Build and maintain your dental practice’s online reputation and gain insight into patient feedback.

Highest rated reviewers can be asked to share their review online
View all collected feedback in-software, enabling you to follow-up with reviews

Would you like to setup the Reputation Management feature? *

What percentage of patients would you like to be asked for feedback each day? *

Please enter a number between 1-100

For what minimum rating should patients be asked to leave an online review? *

Should families only receive 1 survey per day? *

Google Review

If you do not have a Google Review link, please click here to follow the instructions to get your link.

Step 8: Patient Portal

Decrease the time needed for patient intake with our online intake portal.

Patients can fill out medical forms, review documents and provide signatures
Updates are automatically added to their patient file
Skip the waiting room, saving your team time and reducing touchpoints

Would you like to setup the Patient Portal feature? *

Favicon

Provide the favicon you want to display on your Patient Portal website tab. If you do not have a favicon, you may skip this step.

Favicon is a small logo that represents your brand on a browser tab.

Favicon Image

Click or drag a file to this area to upload.

File type: ICO (suggested), PNG
Shape: Square

Once your Patient Portal feature is activated, you can update or edit the logo at any time directly from the Patient Portal Customization settings in ClearDent.

Appointment Request Feature

Patient Portal can also be configured to allow your patients to request for appointments when signed into their account. The Appointment Request Feature can be configured to only display certain providers and appointment types at different times. The requested appointments through Patient Portal will appear in your Appointment Manager lists in ClearDent and the office can schedule the requested appointments.

Would you like to setup the Appointment Request feature? *

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Thank you for subscribing to ClearConnect Premium

Step 2: Design Style

Step 3: Appointment Reminders and Confirmations

Additional Notes:

Step 4: Recalls Reminders

Additional Notes:

Step 5: Additional Options

Additional Information:

Step 6: Authorization of ClearMessaging (2-Way Text)

Step 7: Patient Survey Setup (Reputation Management)

Step 8: Patient Portal

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