Tuesday, 07 September 2010
"Visionary 3.0"

Redefining predictability with innovative solutions... for your patients, your practice, your peace of mind.

Visionary
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Scansworth Here! 

 

Registration
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon

Credentials

For patient referral authorization and authenticity purposes, we need to know that you are who you say you are. By clicking on the "Register" button, you will be giving permission for 3-D Smile, llc to validate your identity. The information that you submit will not be shared with anyone for any reason outside of 3-D Smile. Should your application be approved, innovative solutions that make a world of difference to your patients, your practice and your peace of mind will be at your finger tips.
    
    
* This Field is required This Field IS visible on profile Information for: User Type : Please select one.
* This Field is required This Field IS visible on profile
* This Field is required This Field IS visible on profile Information for: Specialty : Please enter your area of expertise (e.g. implant dentistry, oral surgery, practice management, search engine optimization, etc.).
* This Field is required This Field IS NOT visible on profile Information for: Dental License : If you're a healthcare provider, please provide verifiable licensure. If you're a imaging center, please provide verifiable tax ID.
This Field IS visible on profile Information for: Web site : If you have a website, enter your url here. This field is optional so if you don't have a website, leave it blank. As part of our stakeholder solutions, we offer high performance websites from scratch as well as website re-designs and seo.
* This Field is required This Field IS NOT visible on profile Information for: First Name : Please enter your real first name.
* This Field is required This Field IS NOT visible on profile Information for: Last Name : Please enter your real last name.
* This Field is required This Field IS visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required This Field IS visible on profile Information for: Phone # : Please enter your phone number here.
* This Field is required This Field IS NOT visible on profile Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z

Please enter a valid password below. No spaces, contain at least six characters and contain lower and upper-case letters, or numbers. For example,  "Password1" would work just fine. Should you have any trouble with this field entry, please enter "Password1." We will further assist upon application approval.
* This Field is required This Field IS visible on profile Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS visible on profile Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs

Contact Info

We need to know how to get in touch with you. Please be sure to provide the best contact person and phone number (that's different from the entry above).

* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon
* This Field is required This Field IS visible on profile Information for: City : Please enter your city here.
* This Field is required This Field IS visible on profile Information for: Address : Please enter your street address here. This should also be your shipping address.
This Field IS visible on profile Information for: Phone # : Please enter the contact person's phone. If this number is the same as the one above, please enter a cell phone.
* This Field is required This Field IS visible on profile Information for: Contact Person : Please enter contact person here.
* This Field is required This Field IS visible on profile Information for: State : Please enter your state here.
* This Field is required This Field IS visible on profile Information for: Zip Code : Please enter your zip code here.
* This Field is required This Field IS visible on profile Information for: Country : Please enter your country here.

Imaging Preferences

The following selections will be your default preferences only so don't worry, you can change these preferences at any time. In addition, you will have the chance to customize preferences at each patient referral submission. We got you covered.
This Field IS visible on profile Information for: Iconic Tools :
* This Field is required This Field IS visible on profile Information for: Case Type : Please choose your default case type here. Note: this is only your default selection which can be changed at anytime. Furthermore, this option is present when submitting individual referrals. 
* This Field is required This Field IS visible on profile Information for: Modeling Software : If you have a modeling software preference, select it here. Note: you may select more than one which can always be changed when submitting referral. This is only the default selection. 
This Field IS visible on profile Information for: Implant System : Please select your default implant system. This can always be changed or modified when you submit your patient referral. 
This Field IS visible on profile Information for: Other Info : We understand that details make the difference. Trust us when we say

Practice Preferences

The following selections will be your default preferences only so don't worry, you can change these preferences at any time. In addition, we understand that when we are doing a good job, these preferences will change. So, we have built a tracking tool for your account that will request updated practice preferences every six months. It's the power of thinking without thinking!
* This Field is required This Field IS visible on profile Information for: What Matters? : After the highest quality scan, what matters most to you? 
This Field IS visible on profile

Stakeholder Preferences

The following selections will be your default preferences only so don't worry, you can change these preferences at any time. Stakeholder privledges are granted complimentary to all "Visionary" club members. It's kind of a big deal! What club level are you on?
This Field IS visible on profile Information for: What Matters? : Certain club members have access to exclusive stakeholder privledges. If you're a Visionary, please select your preferences here.
This Field IS visible on profile Information for: What Else? : What else is wildly important to you?

Payment Preferences

Though we don't require credit card information to be kept in our secure, 256-bit encrypted vault, it is strongly recommended. Not only does this enable automatic service processing and immediate delivery, it enables us to provide faster, better solutions in every step of every process. So in most cases, after your solution is delivered, no further action will be required for either party. *You should also know that your credit card will never be charged unless service and/or product is rendered, and all credit card transactions are protected with the highest level of security.
This Field IS visible on profile Information for: Credit Card : Secure, 256-bit encryption.
This Field IS NOT visible on profile Information for: Credit Card # : Secure, 256-bit encryption.
This Field IS NOT visible on profile Information for: Expiration : Secure, 256-bit encryption.
This Field IS NOT visible on profile Information for: Special Requests : Secure, 256-bit encryption.
    * This Field is required This Field IS visible on profile Information for: Terms : The aim of 3-D Smile, llc is to offer innovative solutions that truly make a difference. As such, we've engineered better into every step of every process with with an intuitive, lightweight design. From the user registration to patient referrals, you will go from start to submit in less than 60 seconds. This isn't just faster, it's also our quality assurance program

Terms and Conditions
 
**This concludes the 3-D Smile application process. Please be sure you selected "Accept" and click the register button. When finished, you'll need to check your email for further instructions. Don't worry, you're almost done!
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon