Website + SEO Intake

Help us plan your dental website and SEO strategy.

This intake form helps Dental IT understand your practice, website needs, SEO goals, branding, content, target locations, and technical access requirements before starting your website or search visibility project.

Website redesign or new build

Local SEO and Google visibility

Dental service page planning

Content, branding, and tracking setup

Dental IT Intake Form

Website + SEO Project Details

Complete each step as accurately as possible. Your progress is saved on this device while you complete the form.

Step 1 of 8 Progress autosaves

Contact Information

Full Name *

Role / Job Title

Email Address *

Phone Number *

Preferred Contact Method *

Best Time to Contact

Practice Information

Practice Name *

Public Brand Name

Practice Address *

Service Areas *

Business Phone for Website *

Business Email for Website *

Business Hours

Short Practice Description *

Project Type

What service are you requesting? *

Do you currently have a website? *

Current Website URL

Website Goals

Main Website Goal *

Do you need online appointment booking?

Top 3 Actions You Want Visitors to Take *

Ideal Patient / Customer *

Why Should Patients Choose Your Practice? *

Branding, Logo, and Files

Upload Logo Files Preferred: SVG, transparent PNG, high-resolution JPG/WEBP, or PDF. File uploads cannot be restored if you close the page before submitting. Upload Brand Guide or Design Instructions File uploads cannot be restored if you close the page before submitting. Upload Photos, Brochures, Flyers, or Marketing Materials Upload office photos, team photos, treatment photos, brochures, or existing marketing files. File uploads cannot be restored after leaving the page. Brand Colors

Preferred Visual Style *

Website Content and Pages

Do you already have content written? *

Desired Tone of Voice *

Upload Website Content Upload copy, service descriptions, brochures, menus, pricing sheets, or notes. File uploads cannot be restored if you close the page before submitting.

Main Services *

Top Revenue / Priority Services *

Pages Needed *

Words, Claims, or Topics to Avoid Required Legal Disclaimers or Compliance Language

SEO Information

Are you interested in SEO services? *

Do you have a Google Business Profile? *

Google Business Profile Link SEO Goals Target Locations Target Keywords Have you done SEO before?

Domain, Hosting, and Access

Do you own a domain name? *

Domain Name Domain Provider Current Hosting Provider Who has access to your domain, hosting, website, or Google accounts?

Important password note

Please do not submit passwords through this form. Dental IT will provide secure instructions for sharing account access if needed.

Analytics, Tracking, and Lead Handling

Do you have Google Analytics set up? *

Do you have Google Search Console set up? *

Do you have Microsoft Clarity installed? *

Contact Form Needed? *

Who should receive form submissions? What fields should your contact form include? Booking System or Appointment Link

Competitors, Inspiration, and Maintenance

Competitors or Similar Practices *

Websites You Like Websites You Dislike Must-Have Features

Ongoing Website Maintenance? Monthly SEO Reports?

Who should receive monthly reports?

Final Confirmation

Anything else Dental IT should know? I understand that incomplete information may delay project planning or production. I confirm that the information provided is accurate to the best of my knowledge. I understand Dental IT may contact me for missing information, access requests, project clarification, or approvals. I understand I should not submit passwords through this form.

Your progress is saved on this device until the form is submitted.