mConsent

mConsent’s Digital Paperless Forms make
filling out Pediatric Forms child’s play!

Being a parent is tough enough. So we made our Digital Pediatric
Forms to be the easiest and fastest around.

Schedule a Demo

Enjoying mConsent?

Bundle and Save $6,000+/year!

Bundle and Save with mConsent

Streamline your dental office workflow into one simple platform

The breakthrough in Paperless Pediatric Forms that gives
parents — and you — a big break.

Easy for parents

  • One time does it!

    The minute they check out, they get
    notified to rate the visit.

  • The process is fast and simple.

    They enter their parent information just once, then Autofill places it with every child they add. Brilliant!

  • Patient satisfaction goes up, up, up!

    That’s because it cuts their work in half. And their frustration level by 100%.

  • They’re eager to do it!

    Imagine: A pediatric form so easy, parents are actually happy to fill out.

Easy for you

  • In sync with your needs

    The Reviews are posted on Google and your own website.

  • See their review as soon as it’s done.

    The digital forms synchronize with all of your Insurance Verifications.

  • Suddenly, your office is way more efficient

    Almost overnight, go from drowning in paperwork to streamlining your office flow.

  • Take it easy!

    Easy to upload. Easy to integrate data. Easy to enter into EMR.

  • Saves you time, big time

    Completed forms go straight to the dashboard, patient by patient by patient.  

SCHEDULE A DEMO NOW

How do Pediatric Forms work?

Traditional Pediatric Office Patient Intake Process

1.Parent receives stack of paper forms

2.Parents are required to complete separate forms for each child.

3.Multiple forms must be filled out for each child.

4.Submit all the completed paperwork to the front office.

5.The front office staff will scan the forms and enter all the data into the system.

mConsent Pediatric Office Patient Intake Process:

1.Parents receive an email or text from the practice containing a link to complete the form.

2.Our form design enables parents to complete all the forms in just a few minutes.

3.All the children's information can be added and submitted with a few simple keystrokes

 

Not just less paper:

Less time. Less frustration. Less work. Less errors.
And a whole lot more parent satisfaction.

So let’s get started!

SCHEDULE A DEMO NOW

Digitized Paperless Pediatric Forms

from mConsent, the proven digital leader in helping dental practices succeed.

How to Use your Pediatric Forms

Step #1: Enable Pediatric Mode in mConsent

This feature will work for offices that are fully
pediatric or a family dental practice that sees both
families and individual patients.

Step #2: Text/Email forms to parents or self-complete on in-office iPad

Step #3: Parents can add their information

This will enable it to autofill where necessary.

Step #4: Add in Family Members

This is the big difference between our solution vs others.
The ability to add all patients in one submission vs refilling out the forms.

Step #5: Submit Completed Forms

mConsent Pricing

Rock-Bottom Pricing for Package Plans

Online Forms

iPad App

(with capability to email and text forms.)

Dashboard

Treatment Plan

Patient communication

  • Appointment Reminders
  • 2 Way Text

Quickfill / ASAP

Recalls

Text2Pay

Reputation management

Doctor’s app (coming soon)

Insurance verification

(250 checks - additional $0.25)

Patient Treatment Plan Reminders

Online Scheduling

Account Receivables

Platform

(Practice Forms)

Set-up: $299
$

149

Monthly/
Location

Saver Plan

Integration
included

 
$

299

Monthly/
Location

Deluxe Plan

Integration
included

 
$

359

Monthly/
Location

Silver Plan

Integration
included

 
$

399

Monthly/
Location

Online Forms

iPad App

(with capability to email and text forms.)

Dashboard

Treatment Plan

Set-up: $299

$149

Monthly/
Location

Online Forms

iPad App

(with capability to email and text forms.)

Dashboard

Treatment Plan

Patient communication

  • Appointment Reminders
  • 2 Way Text

Quickfill / ASAP

Recalls

Text2Pay

Reputation management

Doctor’s app (coming soon)

Integration
included

$299

Monthly/
Location

Online Forms

iPad App

(with capability to email and text forms.)

Dashboard

Treatment Plan

Patient communication

  • Appointment Reminders
  • 2 Way Text

Quickfill / ASAP

Recalls

Text2Pay

Reputation management

Doctor’s app (coming soon)

Insurance verification

(250 checks - additional $0.25)

Integration
included

$359

Monthly/
Location

Online Forms

iPad App

(with capability to email and text forms.)

Dashboard

Treatment Plan

Patient communication

  • Appointment Reminders
  • 2 Way Text

Quickfill / ASAP

Recalls

Text2Pay

Reputation management

Doctor’s app (coming soon)

Insurance verification

(250 checks - additional $0.25)

Patient Treatment Plan Reminders

Online Scheduling

Account Receivables

Integration
included

$399

Monthly/
Location

Request Pricing

Getting Started

Request a Demo

GO PAPERLESS

AND IMPROVE PRACTICE EFFICIENCY

Contact

877-203-6767
SRS Web Solutions, Inc
6160, Summit Drive North,
Suite 300, Brooklyn Center,
Minneapolis, MN 55430

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