Let’s work together Name * First Name Last Name Email * Phone * (###) ### #### How did you hear about us? Do you currently reside in the united states? * Yes No Do you currently reside in any of the following states?: Washington * Yes No Will you now or in the future require sponsorship to work in the US? * Yes No Have you previously worked for a remote dental billing company? * Yes No Do you own your own billing company? * Yes No How comfortable are you with tools like Google Sheets or Microsoft Excel? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Dentrix? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Open Dental? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Eaglesoft? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Dentrix Enterprise? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Dentrix Ascend? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Curve? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Oryx? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Macpractice? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! How would you rate your level of experience with Fuse? * I've never used them before. I've used them before a little but I still have a lot to learn. I've used them before and feel comfortable using them day-to-day. I'm an expert! Are you experienced with any other dental softwares besides the ones above? Please list them here! Thank you for sharing your interest in our company! Your application has been received. We look forward to chatting with you soon! Have a wonderful day :)