Beta Application Form - di

beta_name

Practice_id

Dental Intelligence Beta Application Form

Thank you for your interest in being a Beta office for Dental Intelligence. We value your feedback and are excited for you to be one of the first to see what we have been working on.

As you may know, “beta testing” is the final on-site testing and validation process that software goes through before its final release. We would like to invite your office to participate in trying out features that we plan to make available to all of our customers before they launch.

We need a little information about you and your office. Please fill out the form below and we will contact you and let you know if you are accepted into the Beta for this update.

Name

First Name

Last Name

Practice Name

Phone Number

Volunteering to participate in the Beta program will affect everyone in your practice. Are you an authorized decision maker for your practice? *

Yes No

Dental Intelligence Beta Application Form

Since you are not an authorized decision maker in your practice, we will need authorization from someone that is.

No worries. Just enter in their information below, and we can send them this application form to that person automatically to fill out so that we can still get your practice setup with all the great new features first.

Name of Authorized Decision Maker

First Name

Last Name

Email of Authorized Decision Maker

Phone of Authorized Decision Maker

The beta software is a “shipping candidate,” which means it has been fully tested and passed by our Quality Assurance Department. We are excited to extend this formal invitation to you and look forward to working closely with you and your practice.

We consider our Beta practices as partners. We are giving you the best and shiniest features to improve your practice. We still need your help and feedback. As a Beta practice you will have access to our Beta Launch Coordinator to

Provide feedback on updates and new features
Report Issues of features that do not work as expected
Provide suggestions for improvements related to this Beta and future projects

Do you understand and agree to participate with this Beta project?

Yes No Thank You

Would you like to be receive invitations to participate in future Beta projects?

Yes No, take me off the list

Please sign below stating you agree to the terms of this Beta project.

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Use your mouse or finger to draw your signature above

Thank you for your application to the Dental Intelligence Beta Program. You will see an email message shortly from our Beta Launch Coordinator.

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