Confirmation form – Moss Dental Group

Which Office are you submitting for?

Please select the abbreviated form of your office name. EX: JDA (Jonestown Dental Associates)

Would you like the Kiosk Checking Link regarding Patient Forms (New/Existing) to be sent out to paitents automatic?

If the answer above is YES, please enter the number of days prior the Kiosk Check-in Link should be txt/emailed to the patient. If your answer was no, please enter a value of 0.

Do you feel the current default Confirmation message is sufficient?

Current Default Message: (Name of office): Reply C to confirm {{CustomerFirstName}}’s appt on {{AppointmentDateTime}}. Can’t make it? Call (office #)

If Not, What would you like it to say. (There is a 160 Character limit, spaces count as characters as well)