Your form
Start from perio, endo, oral surgery, ortho, or general. Drag fields into place and add your logo.
For dental offices
One secure place for incoming referrals, patient forms, and signed agreements. A fraction of the price of ShareFile.
Two-step sign-in · Audit log · Free for referring offices
Painless paperwork.
No numbing required.

Dashboard
Form builder
Referrals
FORM BUILDER
Sample referral
Text
Date
Tooth chart
Patient nameSample patient
ReasonEvaluation
$19
Basic / month · 10 live forms · 20 templates · 5 users included
$30
Pro / month · 20 live forms · 40 templates · 10 users included
$55
Group / month · 100 live forms · 25 users included
Free
for referring offices
Unlimited
referrals and signature requests
Start from perio, endo, oral surgery, ortho, or general. Drag fields into place and add your logo.
Send a link or paste an iframe on your site. No login for the referring office.
New, Reviewed, Contacted, Scheduled, Declined, or Closed — plus a private note and a PDF.
DentalSlip does referral forms and e‑signatures. It does not schedule visits, bill patients, or replace your practice software. It sits next to the tools you already use.